Provider Demographics
NPI:1912278912
Name:KENDRICK, LINDSEY CHRISTINE (PT)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:CHRISTINE
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:LINDSEY
Other - Middle Name:CHRISTINE
Other - Last Name:WILDE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:180 W END AVE APT 29F
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-4919
Mailing Address - Country:US
Mailing Address - Phone:612-308-4196
Mailing Address - Fax:301-942-6998
Practice Address - Street 1:5454 WISCONSIN AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-6901
Practice Address - Country:US
Practice Address - Phone:240-497-0230
Practice Address - Fax:240-497-0233
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-23
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23003225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist