Provider Demographics
NPI:1427195437
Name:LAMB, COLLEEN E (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:COLLEEN
Middle Name:E
Last Name:LAMB
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 ARLINGTON LN
Mailing Address - Street 2:
Mailing Address - City:BAYVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:11709-2101
Mailing Address - Country:US
Mailing Address - Phone:516-628-2937
Mailing Address - Fax:516-628-2937
Practice Address - Street 1:7 ARLINGTON LN
Practice Address - Street 2:
Practice Address - City:BAYVILLE
Practice Address - State:NY
Practice Address - Zip Code:11709-2101
Practice Address - Country:US
Practice Address - Phone:516-628-2937
Practice Address - Fax:516-628-2937
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-31
Last Update Date:2025-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017747-12251G0304X, 2251N0400X, 2251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251N0400XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistNeurology
No2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics