Provider Demographics
NPI:1306025671
Name:NORMAN, LINDA GAIL (OCCUPATIONAL THERAPI)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:GAIL
Last Name:NORMAN
Suffix:
Gender:F
Credentials:OCCUPATIONAL THERAPI
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:GAIL
Other - Last Name:PAIR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OCCUPATIONAL THERAPI
Mailing Address - Street 1:505 SIMPSON PARKWAY
Mailing Address - Street 2:
Mailing Address - City:CHENEY
Mailing Address - State:WA
Mailing Address - Zip Code:99044
Mailing Address - Country:US
Mailing Address - Phone:509-235-2129
Mailing Address - Fax:
Practice Address - Street 1:7540 N 19TH AVE
Practice Address - Street 2:STE 200 SYNERTX INC
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85021-9958
Practice Address - Country:US
Practice Address - Phone:888-873-4221
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-02
Last Update Date:2007-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist