Provider Demographics
NPI:1740616119
Name:MCLYMONT, JEANINE (PT)
Entity Type:Individual
Prefix:MS
First Name:JEANINE
Middle Name:
Last Name:MCLYMONT
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 1:142 GARTH RD
Mailing Address - Street 2:3X
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-3755
Mailing Address - Country:US
Mailing Address - Phone:914-261-3927
Mailing Address - Fax:
Practice Address - Street 1:142 GARTH RD
Practice Address - Street 2:3X
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-3755
Practice Address - Country:US
Practice Address - Phone:914-261-3927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-17
Last Update Date:2014-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY02277271225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist