Healthcare Provider Details

I. General information

NPI: 1093790339
Provider Name (Legal Business Name): LORI JEAN LAMBRINAKOS P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 12/09/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 OLD KINGS HWY N
DARIEN CT
06820-4735
US

IV. Provider business mailing address

177 SAINT CHARLES AVE
STAMFORD CT
06907-2419
US

V. Phone/Fax

Practice location:
  • Phone: 203-656-2229
  • Fax:
Mailing address:
  • Phone: 203-325-9882
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number003856
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: