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General NPI Number Information
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NPI Number | 1497133771
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Entity Type | Organization
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Legal Business Name | LYNN CULBERTSON PHYSICAL THERAPY PLLC
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Dates
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Enumeration Date | 05/07/2015
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Last Update Date | 08/16/2023
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Provider Practice Location Address
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Address Line | 1887 E MAIN ST
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City | MOHEGAN LAKE
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State | NY
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Zip | 10547-1249
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Country | US
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Telephone | 914-743-7111
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Fax | 914-743-7100
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Provider Business Mailing Address
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Address Line | 1312 LYDIA CT
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City | MOHEGAN LAKE
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State | NY
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Zip | 10547-1907
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Country | US
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Telephone | 914-743-7111
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Fax | 914-743-7100
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Authorized Official
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Title or Position | PHYSICAL THERAPIST
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Name | DR. LYNN ANN CULBERTSON
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Credential | DPT
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Telephone | 914-714-3794
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 030322
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License Number State | NY
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