Provider Demographics
NPI:1497305833
Name:CHRISTINE LYNDERS PHYSICAL THERAPY
Entity Type:Organization
Organization Name:CHRISTINE LYNDERS PHYSICAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTINE
Authorized Official - Middle Name:
Authorized Official - Last Name:LYNDERS
Authorized Official - Suffix:
Authorized Official - Credentials:PT, OCS, CAFS
Authorized Official - Phone:858-829-3901
Mailing Address - Street 1:44-672 KAHINANI PL APT 3
Mailing Address - Street 2:
Mailing Address - City:KANEOHE
Mailing Address - State:HI
Mailing Address - Zip Code:96744-2500
Mailing Address - Country:US
Mailing Address - Phone:858-829-3901
Mailing Address - Fax:
Practice Address - Street 1:44-672 KAHINANI PL APT 3
Practice Address - Street 2:
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744-2500
Practice Address - Country:US
Practice Address - Phone:858-829-3901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-18
Last Update Date:2019-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy