Provider Demographics
NPI:1083273353
Name:DUNKLE, LINDSEY BLAIR (OTR)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:BLAIR
Last Name:DUNKLE
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 1:1750 FM 423 APT 438
Mailing Address - Street 2:
Mailing Address - City:FRISCO
Mailing Address - State:TX
Mailing Address - Zip Code:75033-0516
Mailing Address - Country:US
Mailing Address - Phone:214-772-3623
Mailing Address - Fax:
Practice Address - Street 1:1750 FM 423 APT 438
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75033-0516
Practice Address - Country:US
Practice Address - Phone:214-772-3623
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX119986225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist