Lindsay Divack

NPI #1356023824 in Jericho, New York

Provider Information

NPI Number: 1356023824
Entity Type: Individual
Name: Lindsay Divack
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Enumeration Date: Aug 3, 2023
Last Updated: Aug 3, 2023

Practice Location

Address: 7 CRAIG ST
City: Jericho
State: New York
ZIP Code: 11753-1948
Phone: (516) 761-8651

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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