MEDICARE: MRS. LINDSEY ASHBRIDGE DECHAMBEAU

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
1	225200000X	Physical Therapy Assistant	8494	MA
2	225200000X	Physical Therapy Assistant	PTA00805	RI

General Provider Information

NPI Number	:	1922394600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LINDSEY ASHBRIDGE DECHAMBEAU

Provider Business Mailing Address
First Line	:	70 GILL AVE
Second Line	:
City	:	PAWTUCKET
State	:	RI
Zip	:	02861-4315
Country	:	US
Telephone Number	:	401-722-7900
Fax Number	:

Provider Business Practice Location Address
First Line	:	299 WAREHAM ST
Second Line	:
City	:	MIDDLEBORO
State	:	MA
Zip	:	02346-2905
Country	:	US
Telephone Number	:	508-947-0332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/22/2011
Last Update Date	:	10/16/2023

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