Provider Demographics
NPI:1679541742
Name:DOLSON, LYNDA D (LPT)
Entity type:Individual
Prefix:MRS
First Name:LYNDA
Middle Name:D
Last Name:DOLSON
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1661 GRAHAM RD
Mailing Address - Street 2:
Mailing Address - City:MEADOWBROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19046-1038
Mailing Address - Country:US
Mailing Address - Phone:215-947-1661
Mailing Address - Fax:215-938-1412
Practice Address - Street 1:1661 GRAHAM RD
Practice Address - Street 2:
Practice Address - City:MEADOWBROOK
Practice Address - State:PA
Practice Address - Zip Code:19046-1038
Practice Address - Country:US
Practice Address - Phone:215-947-1661
Practice Address - Fax:215-938-1412
Is Sole Proprietor?:No
Enumeration Date:2006-03-14
Last Update Date:2017-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003166L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist