Lyndsey Pickeral

Individual provider Active NPI Physical Therapy Assistant · Chatham, VA

NPI 1083090195 · NPPES record last updated Jul 31, 2015

Key facts

NPI
1083090195
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
2306604214 (VA)
Practice address
740 Dry Bridge Road
Chatham, VA 24531
Phone
(434) 432-6527
NPI assigned
Jul 31, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2306604214VAMDPhysical Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 2306604214 VA Yes

Addresses

Primary practice location

740 Dry Bridge Road
Chatham, VA 24531

Mailing address

740 Dry Bridge Rd
Chatham, VA 24531-3556
Phone (434) 432-6527

Other providers in Chatham, VA

All providers in Chatham, VA · Physical Therapy Assistant in Virginia

Sources for this page

Verify at the official NPI Registry.