Provider Demographics
NPI:1801295415
Name:SEIDELMAN, LINDSEY (PT, DPT)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:SEIDELMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14714 AVENUE OF THE GRVS
Mailing Address - Street 2:#10210
Mailing Address - City:WINTER GARDEN
Mailing Address - State:FL
Mailing Address - Zip Code:34787-8736
Mailing Address - Country:US
Mailing Address - Phone:407-719-6687
Mailing Address - Fax:
Practice Address - Street 1:1706 E SEMORAN BLVD
Practice Address - Street 2:SUITE 107
Practice Address - City:APOPKA
Practice Address - State:FL
Practice Address - Zip Code:32703-5651
Practice Address - Country:US
Practice Address - Phone:407-880-7772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-08-19
Last Update Date:2014-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL29562225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist