Individual provider · Type 1 NPI
Lyndsay Provencio, PT
Physical Therapist · Portland, OR
Practice location
4829 NE Mlk Jr Blvd Ste 101
Portland, OR 97211-3491
Fax (503) 287-0245
Mailing address
16083 SW Upper Boones Ferry Rd Ste 300
Tigard, OR 97224-7736
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist Primary | 225100000X | 62930 (OR) |
Physical Therapist: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, r…
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About NPI 1174001887
Lyndsay Provencio, PT's National Provider Identifier is 1174001887, issued on Aug 3, 2018. The primary taxonomy on file is Physical Therapist (225100000X), and the practice location is in Portland, OR. The record was last updated on Sep 20, 2018.