Provider Demographics
NPI:1346483237
Name:VELDMAN, LINDA (OTR/L)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:VELDMAN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:277 HYDRAULIC RIDGE RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22901-8127
Mailing Address - Country:US
Mailing Address - Phone:434-529-6248
Mailing Address - Fax:888-651-5732
Practice Address - Street 1:1421 3RD ST SW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24016-5204
Practice Address - Country:US
Practice Address - Phone:540-982-2208
Practice Address - Fax:540-982-7637
Is Sole Proprietor?:No
Enumeration Date:2009-04-08
Last Update Date:2016-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004835225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA272236579OtherEIN/TIN