Provider Demographics
NPI:1649411513
Name:GINIEWSKI, LINDA M
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:M
Last Name:GINIEWSKI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:204 SAINT CHARLES WAY
Mailing Address - Street 2:UNIT 109
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-4645
Mailing Address - Country:US
Mailing Address - Phone:717-858-9193
Mailing Address - Fax:
Practice Address - Street 1:204 SAINT CHARLES WAY
Practice Address - Street 2:UNIT 109
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4645
Practice Address - Country:US
Practice Address - Phone:717-858-9193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-23
Last Update Date:2009-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist