Provider Demographics
NPI:1164453197
Name:CLAIRMONT, LINDSAY R (PT)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:R
Last Name:CLAIRMONT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:R
Other - Last Name:LORD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:34 NORTH ST
Mailing Address - Street 2:SUITE 6
Mailing Address - City:PRESQUE ISLE
Mailing Address - State:ME
Mailing Address - Zip Code:04769-2264
Mailing Address - Country:US
Mailing Address - Phone:207-764-0400
Mailing Address - Fax:207-764-0499
Practice Address - Street 1:34 NORTH ST
Practice Address - Street 2:SUITE 6
Practice Address - City:PRESQUE ISLE
Practice Address - State:ME
Practice Address - Zip Code:04769-2264
Practice Address - Country:US
Practice Address - Phone:207-764-0400
Practice Address - Fax:207-764-0499
Is Sole Proprietor?:No
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2713225100000X
MEPT2519225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist