Provider Demographics
NPI:1982652376
Name:HARRINGTON, LYNN (PT, CAE)
Entity Type:Individual
Prefix:MS
First Name:LYNN
Middle Name:
Last Name:HARRINGTON
Suffix:
Gender:F
Credentials:PT, CAE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1116 VIA MEDIA
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-2922
Mailing Address - Country:US
Mailing Address - Phone:925-284-4854
Mailing Address - Fax:
Practice Address - Street 1:1814 FRANKLIN ST
Practice Address - Street 2:SUITE 905
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94612-3426
Practice Address - Country:US
Practice Address - Phone:510-893-7463
Practice Address - Fax:510-893-9432
Is Sole Proprietor?:No
Enumeration Date:2006-05-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT11828225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist