Provider Demographics
NPI:1952335168
Name:POIRIER, LYNNE MARGOT (PT)
Entity Type:Individual
Prefix:MRS
First Name:LYNNE
Middle Name:MARGOT
Last Name:POIRIER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 HARBOURSIDE DR
Mailing Address - Street 2:APT 1102
Mailing Address - City:DELRAY BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33483-5173
Mailing Address - Country:US
Mailing Address - Phone:561-704-5658
Mailing Address - Fax:
Practice Address - Street 1:6600 W ATLANTIC AVE
Practice Address - Street 2:
Practice Address - City:DELRAY BEACH
Practice Address - State:FL
Practice Address - Zip Code:33446-1604
Practice Address - Country:US
Practice Address - Phone:561-638-8821
Practice Address - Fax:561-638-8861
Is Sole Proprietor?:No
Enumeration Date:2006-07-11
Last Update Date:2018-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL9981225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLY9455AMedicare ID - Type UnspecifiedPHYSICAL THERAPY