Provider Demographics
NPI:1639257876
Name:LAPP, LINDA MARY (PT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:MARY
Last Name:LAPP
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 1:2 SHEFFIELD LN
Mailing Address - Street 2:
Mailing Address - City:EAST MORICHES
Mailing Address - State:NY
Mailing Address - Zip Code:11940-1505
Mailing Address - Country:US
Mailing Address - Phone:631-878-6686
Mailing Address - Fax:631-758-1748
Practice Address - Street 1:77 MEDFORD AVE STE F
Practice Address - Street 2:
Practice Address - City:PATCHOGUE
Practice Address - State:NY
Practice Address - Zip Code:11772-1230
Practice Address - Country:US
Practice Address - Phone:631-207-2370
Practice Address - Fax:631-758-1748
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY012233-01225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist