Provider Demographics
NPI:1164728424
Name:NORTZ, LINDA S (OT)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:S
Last Name:NORTZ
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:B
Other - Last Name:SPINA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:23 BENDER LN
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-4322
Mailing Address - Country:US
Mailing Address - Phone:518-439-9060
Mailing Address - Fax:
Practice Address - Street 1:700 DELAWARE AVE
Practice Address - Street 2:
Practice Address - City:DELMAR
Practice Address - State:NY
Practice Address - Zip Code:12054-2436
Practice Address - Country:US
Practice Address - Phone:518-439-8886
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-03
Last Update Date:2011-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY63-009614225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist