Provider Demographics
NPI:1902350481
Name:POMFRET, LYNDSEY (DPT)
Entity Type:Individual
Prefix:
First Name:LYNDSEY
Middle Name:
Last Name:POMFRET
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1764 MENDON RD STE 6
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:RI
Mailing Address - Zip Code:02864-4385
Mailing Address - Country:US
Mailing Address - Phone:401-333-9787
Mailing Address - Fax:401-333-9785
Practice Address - Street 1:1764 MENDON RD STE 6
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:RI
Practice Address - Zip Code:02864-4385
Practice Address - Country:US
Practice Address - Phone:401-333-9787
Practice Address - Fax:401-333-9785
Is Sole Proprietor?:No
Enumeration Date:2016-08-12
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RI02920225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist