Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | 295727 | OR |
N | 225XH1200X | Occupational Therapist - Hand | 295727 | OR |
Y | 225XH1200X | Occupational Therapist - Hand | 8354358-4201 | UT |
NPI | 1033625819 |
---|---|
Provider Name | Justin Douglas Lindner |
First Address | Ogden, UT 84405-6947 |
Second Address | Ogden, UT 84405 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 16/12/2017 |
Last Update Date | 03/09/2018 |