Healthcare Provider Details

I. General information

NPI: 1629460258
Provider Name (Legal Business Name): LINDSAY EVA NORTH OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: LINDSAY EVA WOOD OTR/L

II. Dates (important events)

Enumeration Date: 02/18/2015
Last Update Date: 07/23/2021
Certification Date: 07/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 IRVING ST NW
WASHINGTON DC
20422
US

IV. Provider business mailing address

11718 STONINGTON PL
SILVER SPRING MD
20902
US

V. Phone/Fax

Practice location:
  • Phone: 202-745-8000
  • Fax:
Mailing address:
  • Phone: 301-233-3098
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT16882
License Number StateFL
# 2
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number07705
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: