Provider Demographics
NPI:1164632865
Name:SALES, LYNDA HAZEL J (PT)
Entity Type:Individual
Prefix:MISS
First Name:LYNDA HAZEL
Middle Name:J
Last Name:SALES
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13010 MILLER AVE
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CA
Mailing Address - Zip Code:90650-3341
Mailing Address - Country:US
Mailing Address - Phone:562-569-4015
Mailing Address - Fax:
Practice Address - Street 1:13010 MILLER AVE
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CA
Practice Address - Zip Code:90650-3341
Practice Address - Country:US
Practice Address - Phone:562-569-4015
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA28060225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist