Provider Demographics
NPI:1902563521
Name:LAMSIS, DAPHNE LAMANGEN (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:MISS
First Name:DAPHNE
Middle Name:LAMANGEN
Last Name:LAMSIS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6544 SAUNDERS ST APT D12
Mailing Address - Street 2:
Mailing Address - City:REGO PARK
Mailing Address - State:NY
Mailing Address - Zip Code:11374-4215
Mailing Address - Country:US
Mailing Address - Phone:910-988-6209
Mailing Address - Fax:
Practice Address - Street 1:6544 SAUNDERS ST APT D12
Practice Address - Street 2:
Practice Address - City:REGO PARK
Practice Address - State:NY
Practice Address - Zip Code:11374-4215
Practice Address - Country:US
Practice Address - Phone:910-988-6209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-18
Last Update Date:2021-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY032106225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist