Provider Demographics
NPI:1740218007
Name:SMART, LINDSEY MICHAELE (DPT)
Entity Type:Individual
Prefix:DR
First Name:LINDSEY
Middle Name:MICHAELE
Last Name:SMART
Suffix:
Gender:F
Credentials:DPT
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Mailing Address - Street 1:100 LUNA PARK DR
Mailing Address - Street 2:APT 433
Mailing Address - City:ALEXANDRIA
Mailing Address - State:VA
Mailing Address - Zip Code:22305-3168
Mailing Address - Country:US
Mailing Address - Phone:717-645-2848
Mailing Address - Fax:
Practice Address - Street 1:6862 ELM ST
Practice Address - Street 2:SUITE 105
Practice Address - City:MC LEAN
Practice Address - State:VA
Practice Address - Zip Code:22101-3897
Practice Address - Country:US
Practice Address - Phone:703-556-7788
Practice Address - Fax:703-556-9750
Is Sole Proprietor?:No
Enumeration Date:2006-06-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
VA2305204575225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist