Provider Demographics
NPI:1174564413
Name:SCHOENECK, LYNN HELEN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LYNN
Middle Name:HELEN
Last Name:SCHOENECK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MS
Other - First Name:LYNN
Other - Middle Name:HELEN
Other - Last Name:PORTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:175 COBBLESTONE WAY
Mailing Address - Street 2:
Mailing Address - City:ALPHARETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30004-6804
Mailing Address - Country:US
Mailing Address - Phone:770-521-9238
Mailing Address - Fax:
Practice Address - Street 1:175 COBBLESTONE WAY
Practice Address - Street 2:
Practice Address - City:ALPHARETTA
Practice Address - State:GA
Practice Address - Zip Code:30004-6804
Practice Address - Country:US
Practice Address - Phone:770-521-9238
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT004200225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist