Healthcare Provider Details

I. General information

NPI: 1801295415
Provider Name (Legal Business Name): LINDSEY SEIDELMAN PT, DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/19/2014
Last Update Date: 08/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1706 E SEMORAN BLVD SUITE 107
APOPKA FL
32703-5651
US

IV. Provider business mailing address

14714 AVENUE OF THE GRVS #10210
WINTER GARDEN FL
34787-8736
US

V. Phone/Fax

Practice location:
  • Phone: 407-880-7772
  • Fax:
Mailing address:
  • Phone: 407-719-6687
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number29562
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: