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NPI Code Detail

MEDICARE: LINDSEY RITTER PT

MEDICARE:   LINDSEY  RITTER  PT
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 Therapist070.012901IL

General Provider Information

NPI Number : 1730473448
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSEY RITTER PT
Provider Business Mailing Address
First Line : 964 N 5TH AVE
Second Line :
City : SAINT CHARLES
State : IL
Zip : 60174-1204
Country : US
Telephone Number : 630-443-8202
Fax Number :
Provider Business Practice Location Address
First Line : 964 N 5TH AVE
Second Line :
City : SAINT CHARLES
State : IL
Zip : 60174-1204
Country : US
Telephone Number : 630-443-8202
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/31/2011
Last Update Date : 05/31/2011

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Directions to “ LINDSEY RITTER PT” Practice Location

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