Provider Demographics
NPI:1760580682
Name:GINSBERG, LORI ELLEN (PT)
Entity Type:Individual
Prefix:
First Name:LORI
Middle Name:ELLEN
Last Name:GINSBERG
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 1:129 TRELLINGWOOD DR
Mailing Address - Street 2:
Mailing Address - City:MORRISVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27560-7034
Mailing Address - Country:US
Mailing Address - Phone:919-432-8880
Mailing Address - Fax:
Practice Address - Street 1:129 TRELLINGWOOD DR
Practice Address - Street 2:
Practice Address - City:MORRISVILLE
Practice Address - State:NC
Practice Address - Zip Code:27560-7034
Practice Address - Country:US
Practice Address - Phone:919-432-8880
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-21
Last Update Date:2023-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN6723225100000X
NC12091225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist