Healthcare Provider Details

I. General information

NPI: 1245135359
Provider Name (Legal Business Name): LINDSEY ALLISON ALCANTARA OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: LINDSEY PACE OTR/L

II. Dates (important events)

Enumeration Date: 10/09/2026
Last Update Date: 10/09/2026
Certification Date: 10/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13540 W 69TH PL
ARVADA CO
80004-1112
US

IV. Provider business mailing address

13540 W 69TH PL
ARVADA CO
80004-1112
US

V. Phone/Fax

Practice location:
  • Phone: 915-474-5451
  • Fax:
Mailing address:
  • Phone: 915-474-5451
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License NumberOT.0004271
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: