Provider Demographics
NPI:1073751855
Name:STAWARCZIK, LINDSEY N (OTR)
Entity Type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:N
Last Name:STAWARCZIK
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 1:1341 SUMMONER LN
Mailing Address - Street 2:
Mailing Address - City:ABILENE
Mailing Address - State:TX
Mailing Address - Zip Code:79602-3132
Mailing Address - Country:US
Mailing Address - Phone:325-665-6999
Mailing Address - Fax:
Practice Address - Street 1:2722 OLD ANSON RD
Practice Address - Street 2:
Practice Address - City:ABILENE
Practice Address - State:TX
Practice Address - Zip Code:79603-1834
Practice Address - Country:US
Practice Address - Phone:325-676-1677
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-02-02
Last Update Date:2009-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX111470225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist