Lindsey Niday, COTA/L

Individual provider Active NPI Occupational Therapy Assistant · Bidwell, OH

NPI 1699028472 · NPPES record last updated Nov 13, 2013

Key facts

NPI
1699028472
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OTA 04995 (OH)
Practice address
311 Buck Ridge Rd
Bidwell, OH 45614-9016
Phone
(740) 446-7150
NPI assigned
Oct 18, 2012
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTA 04995OHMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA 04995 OH Yes

Addresses

Primary practice location

311 Buck Ridge Rd
Bidwell, OH 45614-9016

Mailing address

853 2ND Ave
Gallipolis, OH 45631-1634
Phone (740) 645-2809

Other providers in Bidwell, OH

All providers in Bidwell, OH · Occupational Therapy Assistant in Ohio

Sources for this page

Verify at the official NPI Registry.