Provider Demographics
NPI:1730590662
Name:POYSER, LINDSAY MARIE (PT, DPT, ATC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:MARIE
Last Name:POYSER
Suffix:
Gender:F
Credentials:PT, DPT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4240 LOST HILLS RD UNIT 2802
Mailing Address - Street 2:
Mailing Address - City:CALABASAS
Mailing Address - State:CA
Mailing Address - Zip Code:91301-5389
Mailing Address - Country:US
Mailing Address - Phone:714-393-2309
Mailing Address - Fax:
Practice Address - Street 1:4240 LOST HILLS RD UNIT 2802
Practice Address - Street 2:
Practice Address - City:CALABASAS
Practice Address - State:CA
Practice Address - Zip Code:91301-5389
Practice Address - Country:US
Practice Address - Phone:714-393-2309
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-14
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA41075225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist