Provider Demographics
NPI:1316220270
Name:LOURY, LINDA SHEERAN (PT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:SHEERAN
Last Name:LOURY
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 1:614 SNAKE HILL RD
Mailing Address - Street 2:
Mailing Address - City:POESTENKILL
Mailing Address - State:NY
Mailing Address - Zip Code:12140-3323
Mailing Address - Country:US
Mailing Address - Phone:518-283-3710
Mailing Address - Fax:
Practice Address - Street 1:614 SNAKE HILL RD
Practice Address - Street 2:
Practice Address - City:POESTENKILL
Practice Address - State:NY
Practice Address - Zip Code:12140-3323
Practice Address - Country:US
Practice Address - Phone:518-283-3710
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-27
Last Update Date:2011-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY011766-1 PT2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics