Provider Demographics
NPI:1093428393
Name:LINSEY ROY OCCUPATIONAL THERAPY
Entity Type:Organization
Organization Name:LINSEY ROY OCCUPATIONAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OCCUPATIONAL THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:LINSEY
Authorized Official - Middle Name:
Authorized Official - Last Name:ROY
Authorized Official - Suffix:
Authorized Official - Credentials:MOT, OTR/L
Authorized Official - Phone:424-323-3930
Mailing Address - Street 1:3812 SEPULVEDA BLVD STE 360
Mailing Address - Street 2:
Mailing Address - City:TORRANCE
Mailing Address - State:CA
Mailing Address - Zip Code:90505-2456
Mailing Address - Country:US
Mailing Address - Phone:424-323-3930
Mailing Address - Fax:
Practice Address - Street 1:3812 SEPULVEDA BLVD STE 360
Practice Address - Street 2:
Practice Address - City:TORRANCE
Practice Address - State:CA
Practice Address - Zip Code:90505-2456
Practice Address - Country:US
Practice Address - Phone:424-323-3930
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-02
Last Update Date:2023-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center