Provider Demographics
NPI:1952804494
Name:THOMPSON, LINDSAY MARIE (DPT)
Entity Type:Individual
Prefix:MS
First Name:LINDSAY
Middle Name:MARIE
Last Name:THOMPSON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:747 LACEY RD
Mailing Address - Street 2:
Mailing Address - City:FORKED RIVER
Mailing Address - State:NJ
Mailing Address - Zip Code:08731-1304
Mailing Address - Country:US
Mailing Address - Phone:732-345-1377
Mailing Address - Fax:609-622-8298
Practice Address - Street 1:747 LACEY RD
Practice Address - Street 2:
Practice Address - City:FORKED RIVER
Practice Address - State:NJ
Practice Address - Zip Code:08731-1304
Practice Address - Country:US
Practice Address - Phone:732-345-1377
Practice Address - Fax:609-622-8298
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-12
Last Update Date:2022-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01780400208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation