Provider Demographics
NPI:1033351804
Name:STONECIPHER, LINDSAY ALINE RUMOHR (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ALINE RUMOHR
Last Name:STONECIPHER
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:220 N PROSPECT MANOR AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-2332
Mailing Address - Country:US
Mailing Address - Phone:512-680-1925
Mailing Address - Fax:312-284-8874
Practice Address - Street 1:220 N PROSPECT MANOR AVE
Practice Address - Street 2:
Practice Address - City:MOUNT PROSPECT
Practice Address - State:IL
Practice Address - Zip Code:60056-2332
Practice Address - Country:US
Practice Address - Phone:512-680-1925
Practice Address - Fax:312-284-8874
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-25
Last Update Date:2021-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056.008192225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty