Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 8808 | CT |
N | 2251E1200X | Ergonomics | 8808 | CT |
N | 225XE1200X | Ergonomics | 8808 | CT |
N | 2251G0304X | Physical Therapist - Geriatrics | 8808 | CT |
N | 2251P0200X | Physical Therapist - Pediatrics | 8808 | CT |
N | 2251S0007X | Physical Therapist - Sports | 8808 | CT |
N | 2251X0800X | Physical Therapist - Orthopedic | 8808 | CT |
NPI | 1184943813 |
---|---|
Provider Name | Lindsey Ertel |
First Address | Wallingford, CT 06492-1930 |
Second Address | Wallingford, CT 06492-1930 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/05/2010 |
Last Update Date | 20/05/2010 |