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General NPI Number Information
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NPI Number | 1437989217
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Entity Type | Individual
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Provider Name | LINDSEY WILLMAN PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/06/2024
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Last Update Date | 02/14/2025
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Provider Practice Location Address
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Address Line | 1 STARR RIDGE RD STE 204
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City | BREWSTER
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State | NY
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Zip | 10509-4534
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Country | US
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Telephone | 845-414-6161
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Fax |
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Provider Business Mailing Address
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Address Line | 101 N BROADWAY APT 2C4
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City | WHITE PLAINS
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State | NY
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Zip | 10603-4817
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Country | US
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Telephone | 817-915-4255
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 053848
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License Number State | NY
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