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NPI Code Detail

MEDICARE: LINDSAY OSBORN OTR/L

MEDICARE: LINDSAY OSBORN OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist10398CA

General Provider Information

NPI Number : 1528459427
Entity Type Code : Individual
Provider Name (Legal Business Name) : LINDSAY OSBORN OTR/L
Provider Business Mailing Address
First Line : 3719 COUNTRY CLUB DR UNIT 18
Second Line :
City : LONG BEACH
State : CA
Zip : 90807-3151
Country : US
Telephone Number : 310-809-2113
Fax Number :
Provider Business Practice Location Address
First Line : 3850 E ESTHER ST
Second Line :
City : LONG BEACH
State : CA
Zip : 90804-2009
Country : US
Telephone Number : 310-809-2113
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/12/2015
Last Update Date : 02/12/2015

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Directions to “ LINDSAY OSBORN OTR/L” Practice Location

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