Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2251G0304X | Physical Therapist - Geriatrics | 017747-1 | NY |
N | 2251N0400X | Physical Therapist - Neurology | 017747-1 | NY |
N | 2251P0200X | Physical Therapist - Pediatrics | 017747-1 | NY |
NPI | 1427195437 |
---|---|
Provider Name | Colleen E. Lamb |
First Address | Bayville, NY 11709-2101 |
Second Address | Bayville, NY 11709-2101 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 31/01/2007 |
Last Update Date | 08/07/2007 |