Provider Demographics
NPI:1467986869
Name:NEGLIO, LINSEY (PT, DPT)
Entity Type:Individual
Prefix:
First Name:LINSEY
Middle Name:
Last Name:NEGLIO
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 1:132 LAURENT
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-8302
Mailing Address - Country:US
Mailing Address - Phone:203-460-1230
Mailing Address - Fax:
Practice Address - Street 1:132 LAURENT
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-8302
Practice Address - Country:US
Practice Address - Phone:203-460-1230
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-12
Last Update Date:2017-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA292912225100000X
CT010609225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist