Provider Demographics
NPI:1568660645
Name:FIRST, LINDY LEE (PT)
Entity Type:Individual
Prefix:
First Name:LINDY
Middle Name:LEE
Last Name:FIRST
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 1:5030 CAMINO DE LA SIESTA
Mailing Address - Street 2:#220
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3116
Mailing Address - Country:US
Mailing Address - Phone:619-260-0750
Mailing Address - Fax:619-260-0201
Practice Address - Street 1:5030 CAMINO DE LA SIESTA
Practice Address - Street 2:#220
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3116
Practice Address - Country:US
Practice Address - Phone:619-260-0750
Practice Address - Fax:619-260-0201
Is Sole Proprietor?:No
Enumeration Date:2007-07-10
Last Update Date:2016-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 33780225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist