Provider Demographics
NPI:1144565292
Name:CHAMBERS, LINDSAY H (DPT)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:H
Last Name:CHAMBERS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:H
Other - Last Name:LYNCH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:11 EAGLE ROCK AVE
Mailing Address - Street 2:
Mailing Address - City:EAST HANOVER
Mailing Address - State:NJ
Mailing Address - Zip Code:07936-3167
Mailing Address - Country:US
Mailing Address - Phone:973-929-3351
Mailing Address - Fax:973-887-3816
Practice Address - Street 1:197 RIDEDALE AVE.
Practice Address - Street 2:SUITE 155
Practice Address - City:CEDAR KNOLLS
Practice Address - State:NJ
Practice Address - Zip Code:07927
Practice Address - Country:US
Practice Address - Phone:973-605-5115
Practice Address - Fax:973-605-5995
Is Sole Proprietor?:No
Enumeration Date:2012-11-30
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01472800225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ264427Medicare PIN