Provider Demographics
NPI:1760739361
Name:DUROSS, LINDSY GRACE (PTA/L)
Entity Type:Individual
Prefix:MRS
First Name:LINDSY
Middle Name:GRACE
Last Name:DUROSS
Suffix:
Gender:F
Credentials:PTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:251 W CENTRAL ST STE 30
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-3758
Mailing Address - Country:US
Mailing Address - Phone:508-650-0060
Mailing Address - Fax:508-650-0061
Practice Address - Street 1:251 W CENTRAL ST STE 30
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-3758
Practice Address - Country:US
Practice Address - Phone:508-650-0060
Practice Address - Fax:508-650-0061
Is Sole Proprietor?:No
Enumeration Date:2012-08-14
Last Update Date:2012-08-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2154225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant