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NPI Code Detail

MEDICARE: DR. LYNDSAY D SPERAZZO PT, DPT

MEDICARE: DR. LYNDSAY D SPERAZZO PT, 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 TherapistPT02239RI
2225100000XPhysical Therapist037341-1NY

General Provider Information

NPI Number : 1518291681
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. LYNDSAY D SPERAZZO PT, DPT
Provider Business Mailing Address
First Line : 22 CLARK ST
Second Line :
City : SARATOGA SPRINGS
State : NY
Zip : 12866-4631
Country : US
Telephone Number : 401-474-2648
Fax Number :
Provider Business Practice Location Address
First Line : 100 PARK ST
Second Line :
City : GLENS FALLS
State : NY
Zip : 12801-4447
Country : US
Telephone Number : 518-926-2005
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2009
Last Update Date : 01/22/2019

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