Healthcare Provider Details

I. General information

NPI: 1992918601
Provider Name (Legal Business Name): ELIZABETH MARIE LINDNER OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 49TH AVE N
MINNEAPOLIS MN
55430-3621
US

IV. Provider business mailing address

2541 XYLON AVE S
MINNEAPOLIS MN
55426-2470
US

V. Phone/Fax

Practice location:
  • Phone: 952-955-2242
  • Fax: 952-955-2010
Mailing address:
  • Phone: 763-458-0620
  • Fax: 952-955-2010

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number102479
License Number StateMN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: