Provider Demographics
NPI:1922394600
Name:DECHAMBEAU, LINDSEY ASHBRIDGE
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:ASHBRIDGE
Last Name:DECHAMBEAU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 GILL AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02861-4315
Mailing Address - Country:US
Mailing Address - Phone:401-722-7900
Mailing Address - Fax:
Practice Address - Street 1:299 WAREHAM ST
Practice Address - Street 2:
Practice Address - City:MIDDLEBORO
Practice Address - State:MA
Practice Address - Zip Code:02346-2905
Practice Address - Country:US
Practice Address - Phone:508-947-0332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-22
Last Update Date:2023-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8494225200000X
RIPTA00805225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant