Provider Demographics
NPI:1245419357
Name:JOSEPH, LINCY J (PT)
Entity Type:Individual
Prefix:
First Name:LINCY
Middle Name:J
Last Name:JOSEPH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:91 SIDNEY ST
Mailing Address - Street 2:APT 608
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02139-4277
Mailing Address - Country:US
Mailing Address - Phone:617-252-6523
Mailing Address - Fax:
Practice Address - Street 1:91 SIDNEY ST
Practice Address - Street 2:APT 608
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02139-4277
Practice Address - Country:US
Practice Address - Phone:617-252-6523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-25
Last Update Date:2007-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA179452251G0304X
IL2251H1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251H1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHuman Factors