Provider Demographics
NPI:1053059048
Name:CAMBRA, LINDSEY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:CAMBRA
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 S 120TH AVE
Mailing Address - Street 2:
Mailing Address - City:AVONDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85323-5732
Mailing Address - Country:US
Mailing Address - Phone:808-799-8321
Mailing Address - Fax:
Practice Address - Street 1:6630 W CACTUS RD STE B112
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85304-1662
Practice Address - Country:US
Practice Address - Phone:623-469-5811
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-20
Last Update Date:2022-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ32351225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist