Healthcare Provider Details

I. General information

NPI: 1215603899
Provider Name (Legal Business Name): LYNETTE MARIE WINSHMAN PT, DPT, LAT, ATC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/23/2021
Last Update Date: 08/26/2021
Certification Date: 08/26/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 N MEADOWS RD
MEDFIELD MA
02052-2317
US

IV. Provider business mailing address

7 WEBSTER AVE
CAMBRIDGE MA
02141-1931
US

V. Phone/Fax

Practice location:
  • Phone: 508-359-9119
  • Fax:
Mailing address:
  • Phone: 508-918-0159
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: