Provider Demographics
NPI:1508946807
Name:WORSWICK, LINDA O (PT)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:O
Last Name:WORSWICK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:917 COTTONWOOD CIR
Mailing Address - Street 2:
Mailing Address - City:GOLDEN
Mailing Address - State:CO
Mailing Address - Zip Code:80401-1795
Mailing Address - Country:US
Mailing Address - Phone:303-278-1880
Mailing Address - Fax:303-278-1877
Practice Address - Street 1:480 S ALLISON PKWY
Practice Address - Street 2:CIVIC CENTER SOUTH
Practice Address - City:LAKEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80226-3123
Practice Address - Country:US
Practice Address - Phone:303-239-8900
Practice Address - Fax:303-239-0354
Is Sole Proprietor?:No
Enumeration Date:2006-10-17
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CO2384225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
803091Medicare PIN
803787Medicare PIN