Provider Demographics
NPI:1003079658
Name:LINDGREN, KARLIE MARIE (OTR)
Entity Type:Individual
Prefix:
First Name:KARLIE
Middle Name:MARIE
Last Name:LINDGREN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1870 PARK DR
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80538-4282
Mailing Address - Country:US
Mailing Address - Phone:970-203-0082
Mailing Address - Fax:
Practice Address - Street 1:1875 FALL RIVER DR
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80538-4412
Practice Address - Country:US
Practice Address - Phone:970-461-1100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-03
Last Update Date:2008-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO1035716225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist