Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208100000X | Physical Medicine & Rehabilitation Doctor | PT028137 | PA |
NPI | 1013550680 |
---|---|
Provider Name | Lindsay Gerringer |
First Address | Islandia, NY 11749-5258 |
Second Address | Philadelphia, PA 19136-2736 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/10/2019 |
Last Update Date | 09/01/2020 |