Provider Demographics
NPI:1952646077
Name:O'KANE, LINDSAY ANNE (DPT)
Entity Type:Individual
Prefix:MISS
First Name:LINDSAY
Middle Name:ANNE
Last Name:O'KANE
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:110 LA CASA VIA STE 100
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94598-3000
Mailing Address - Country:US
Mailing Address - Phone:925-935-4866
Mailing Address - Fax:925-935-8873
Practice Address - Street 1:110 LA CASA VIA STE 100
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94598-3000
Practice Address - Country:US
Practice Address - Phone:925-935-4866
Practice Address - Fax:925-935-8873
Is Sole Proprietor?:No
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA39673225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist