Provider Demographics
NPI:1821065012
Name:LENNOX, LINDA JOAN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:JOAN
Last Name:LENNOX
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
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Mailing Address - Street 1:501 IRON BRIDGE RD
Mailing Address - Street 2:SUITE 7
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-5304
Mailing Address - Country:US
Mailing Address - Phone:732-780-4413
Mailing Address - Fax:732-780-3388
Practice Address - Street 1:501 IRON BRIDGE RD
Practice Address - Street 2:SUITE 7
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-5304
Practice Address - Country:US
Practice Address - Phone:732-780-4413
Practice Address - Fax:732-780-3388
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-07
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJQA00189200225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist