Provider Demographics
NPI:1295005163
Name:JONES, LINDSAY (OTR/L, OTD)
Entity Type:Individual
Prefix:DR
First Name:LINDSAY
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:OTR/L, OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7309 S MICHIGAN AVE APT 1B
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60619-1640
Mailing Address - Country:US
Mailing Address - Phone:773-885-1785
Mailing Address - Fax:
Practice Address - Street 1:7309 S MICHIGAN AVE APT 1B
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60619-1640
Practice Address - Country:US
Practice Address - Phone:773-885-1785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-09
Last Update Date:2014-07-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056009573225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist