Provider Demographics
NPI:1881969947
Name:CORREIA, LINNET (MSPT)
Entity type:Individual
Prefix:
First Name:LINNET
Middle Name:
Last Name:CORREIA
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1664 E 14TH ST STE 401
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11229-1169
Mailing Address - Country:US
Mailing Address - Phone:718-375-2300
Mailing Address - Fax:888-506-2272
Practice Address - Street 1:1664 E 14TH ST STE 401
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11229-1169
Practice Address - Country:US
Practice Address - Phone:718-375-2300
Practice Address - Fax:888-506-2272
Is Sole Proprietor?:No
Enumeration Date:2012-03-21
Last Update Date:2012-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY034651225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist