Provider Demographics
NPI:1275732489
Name:KARBO, LINDA LEE (OT/L)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LEE
Last Name:KARBO
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6800 W BRIGHTON CIR
Mailing Address - Street 2:
Mailing Address - City:SIOUX FALLS
Mailing Address - State:SD
Mailing Address - Zip Code:57106-3224
Mailing Address - Country:US
Mailing Address - Phone:605-361-2574
Mailing Address - Fax:
Practice Address - Street 1:6800 W BRIGHTON CIR
Practice Address - Street 2:
Practice Address - City:SIOUX FALLS
Practice Address - State:SD
Practice Address - Zip Code:57106-3224
Practice Address - Country:US
Practice Address - Phone:605-361-2574
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD0034225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist