MEDICARE: HEATHER GRANT LINDSLEY PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	PT-010755-L	PA
2	225100000X	Physical Therapist	2832	NC

General Provider Information

NPI Number	:	1831287937
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER GRANT LINDSLEY PT

Provider Business Mailing Address
First Line	:	89 LEAMAN RD
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-9696
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	617 N PRINCE ST # A
Second Line	:
City	:	LANCASTER
State	:	PA
Zip	:	17603-4769
Country	:	US
Telephone Number	:	717-390-4822
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	03/19/2013

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Directions to “ HEATHER GRANT LINDSLEY PT” Practice Location

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