Provider Demographics
NPI:1083083331
Name:LINDSAY, COURTNEY (OTR/L)
Entity Type:Individual
Prefix:MISS
First Name:COURTNEY
Middle Name:
Last Name:LINDSAY
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 1:610 NEWARK ST
Mailing Address - Street 2:APT 6F
Mailing Address - City:HOBOKEN
Mailing Address - State:NJ
Mailing Address - Zip Code:07030-6017
Mailing Address - Country:US
Mailing Address - Phone:908-421-5565
Mailing Address - Fax:
Practice Address - Street 1:610 NEWARK ST
Practice Address - Street 2:6F
Practice Address - City:HOBOKEN
Practice Address - State:NJ
Practice Address - Zip Code:07030-6017
Practice Address - Country:US
Practice Address - Phone:908-421-5565
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-16
Last Update Date:2015-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00485200225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation