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NPI Code Detail

MEDICARE: LINDSEY E PERIGO DPT

MEDICARE: LINDSEY E PERIGO DPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist032571NY

General Provider Information

NPI Number : 1376861351
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY E PERIGO DPT
Provider Business Mailing Address
First Line : 609 N FRANKLIN ST
Second Line :
City : WATKINS GLEN
State : NY
Zip : 14891-1302
Country : US
Telephone Number : 607-535-7574
Fax Number : 607-535-7445
Provider Business Practice Location Address
First Line : 609 N FRANKLIN ST
Second Line :
City : WATKINS GLEN
State : NY
Zip : 14891-1302
Country : US
Telephone Number : 607-535-7574
Fax Number : 607-535-7445
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/14/2010
Last Update Date : 05/14/2010

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Directions to “ LINDSEY E PERIGO DPT” Practice Location

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