Provider Demographics
NPI:1033320221
Name:DANKERS, LYNN MARION (PTA)
Entity type:Individual
Prefix:MS
First Name:LYNN
Middle Name:MARION
Last Name:DANKERS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2-01 BELLAIR AVE
Mailing Address - Street 2:
Mailing Address - City:FAIR LAWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07410-1412
Mailing Address - Country:US
Mailing Address - Phone:201-796-0628
Mailing Address - Fax:
Practice Address - Street 1:140 SHEPHERD LN
Practice Address - Street 2:
Practice Address - City:TOTOWA
Practice Address - State:NJ
Practice Address - Zip Code:07512-2188
Practice Address - Country:US
Practice Address - Phone:973-790-3095
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant