Provider Demographics
NPI:1932216710
Name:KANTER, LINDSEY JOHNSON (RPT)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:JOHNSON
Last Name:KANTER
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:MISS
Other - First Name:LINDSEY
Other - Middle Name:BETH
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RPT
Mailing Address - Street 1:221A STIRLING RD
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:NJ
Mailing Address - Zip Code:07059-5238
Mailing Address - Country:US
Mailing Address - Phone:908-542-1150
Mailing Address - Fax:908-542-1154
Practice Address - Street 1:221A STIRLING RD
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:NJ
Practice Address - Zip Code:07059-5238
Practice Address - Country:US
Practice Address - Phone:908-542-1150
Practice Address - Fax:908-542-1154
Is Sole Proprietor?:No
Enumeration Date:2006-08-25
Last Update Date:2012-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIPT02048225100000X
CT8103225100000X
NJ40QA01432400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist