Provider Demographics
NPI:1235431941
Name:LINEHAN, AISLING MARIE (DPT)
Entity Type:Individual
Prefix:
First Name:AISLING
Middle Name:MARIE
Last Name:LINEHAN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5319 WESSEX PL
Mailing Address - Street 2:
Mailing Address - City:PRINCETON
Mailing Address - State:NJ
Mailing Address - Zip Code:08540-6487
Mailing Address - Country:US
Mailing Address - Phone:215-356-7653
Mailing Address - Fax:
Practice Address - Street 1:4056 QUAKERBRIDGE RD
Practice Address - Street 2:SUITE 111
Practice Address - City:LAWRENCEVILLE
Practice Address - State:NJ
Practice Address - Zip Code:08648-4779
Practice Address - Country:US
Practice Address - Phone:609-588-8602
Practice Address - Fax:609-588-8602
Is Sole Proprietor?:No
Enumeration Date:2010-12-01
Last Update Date:2012-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT020890225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ40QA01410700OtherLICENSE NJ