Provider Demographics
NPI:1306021001
Name:FORTIN, LINDSAY M (PT)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M
Last Name:FORTIN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:M
Other - Last Name:MARCINUK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:944 CALEF HWY
Mailing Address - Street 2:
Mailing Address - City:BARRINGTON
Mailing Address - State:NH
Mailing Address - Zip Code:03825-7244
Mailing Address - Country:US
Mailing Address - Phone:603-664-0100
Mailing Address - Fax:603-664-0101
Practice Address - Street 1:944 CALEF HWY
Practice Address - Street 2:
Practice Address - City:BARRINGTON
Practice Address - State:NH
Practice Address - Zip Code:03825-7244
Practice Address - Country:US
Practice Address - Phone:603-664-0100
Practice Address - Fax:603-664-0101
Is Sole Proprietor?:No
Enumeration Date:2008-01-02
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH3192225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist