Provider Demographics
NPI:1851686299
Name:WESTERVELT, LINDLEY (PT)
Entity Type:Individual
Prefix:DR
First Name:LINDLEY
Middle Name:
Last Name:WESTERVELT
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 1:431 E CENTRAL BLVD
Mailing Address - Street 2:APT 410
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1911
Mailing Address - Country:US
Mailing Address - Phone:321-427-3817
Mailing Address - Fax:
Practice Address - Street 1:431 E CENTRAL BLVD
Practice Address - Street 2:APT 410
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32801-1911
Practice Address - Country:US
Practice Address - Phone:321-427-3817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-06-14
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT26434225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist