Healthcare Provider Details

I. General information

NPI: 1417580150
Provider Name (Legal Business Name): LINDSAY NICOLE TURNER OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/21/2020
Last Update Date: 02/21/2020
Certification Date: 02/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 N CLASSEN BLVD
OKLAHOMA CITY OK
73118-5031
US

IV. Provider business mailing address

5350 E 31ST ST # 302
TULSA OK
74135-5008
US

V. Phone/Fax

Practice location:
  • Phone: 405-604-3408
  • Fax: 405-286-9828
Mailing address:
  • Phone: 918-933-4018
  • Fax: 918-779-7794

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XL0004X
TaxonomyLow Vision Occupational Therapist
License Number5432
License Number StateOK
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number5432
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: