Provider Demographics
NPI:1306006770
Name:CULBERTSON, LYNN ANN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:LYNN
Middle Name:ANN
Last Name:CULBERTSON
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3098 MAQUA PL
Mailing Address - Street 2:
Mailing Address - City:MOHEGAN LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:10547-1818
Mailing Address - Country:US
Mailing Address - Phone:914-714-3794
Mailing Address - Fax:914-743-1724
Practice Address - Street 1:3098 MAQUA PL
Practice Address - Street 2:
Practice Address - City:MOHEGAN LAKE
Practice Address - State:NY
Practice Address - Zip Code:10547-1818
Practice Address - Country:US
Practice Address - Phone:914-714-3794
Practice Address - Fax:914-743-1724
Is Sole Proprietor?:No
Enumeration Date:2008-06-10
Last Update Date:2016-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY030322225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist