Provider Demographics
NPI:1033157870
Name:ORR, LINDA L (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:L
Last Name:ORR
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 W ILLINOIS ST
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:IL
Mailing Address - Zip Code:62670-4308
Mailing Address - Country:US
Mailing Address - Phone:217-488-2770
Mailing Address - Fax:217-488-6416
Practice Address - Street 1:504 W ILLINOIS ST
Practice Address - Street 2:
Practice Address - City:NEW BERLIN
Practice Address - State:IL
Practice Address - Zip Code:62670-4308
Practice Address - Country:US
Practice Address - Phone:217-488-2770
Practice Address - Fax:217-488-6416
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-06-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics