Doctor Name: | LYNN MARIE NORTHUP |
NPI Number: | 1730457599 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT |
License Number: | 018781 |
Business Practice Address: | 191 Clinton St Avon, NY - 144141413 |
Business Phone Number: | 5852262455 |
Business Fax Number: | |
Mailing Address: | 27 Hutton Cir, CHURCHVILLE |
State: | NY |
Postal Code: | 144289107 |
Phone Number: | 5852932096 |
Fax Number: | |
NPI Enumeration Date: | 12/08/2011 |
NPI Last Update Date: | 12/08/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 018781 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |