Provider Demographics
NPI:1366582355
Name:OST, LINDY (PT)
Entity type:Individual
Prefix:MS
First Name:LINDY
Middle Name:
Last Name:OST
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4 RIVERVIEW DR
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-1632
Mailing Address - Country:US
Mailing Address - Phone:207-406-4346
Mailing Address - Fax:866-395-6111
Practice Address - Street 1:4 RIVERVIEW DR
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-1632
Practice Address - Country:US
Practice Address - Phone:207-406-4346
Practice Address - Fax:866-395-6111
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2015-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME261QP2000X261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy
Provider Identifiers
StateIdentifier IDID TypeIssuer
ME432387500Medicaid
ME432387500Medicaid