Provider Demographics
NPI:1346533767
Name:CAMPBELL, LINDA JEANNETTE (MS, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JEANNETTE
Last Name:CAMPBELL
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4440 CARVER WOODS DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45242-5529
Mailing Address - Country:US
Mailing Address - Phone:513-791-5688
Mailing Address - Fax:513-791-0023
Practice Address - Street 1:4440 CARVER WOODS DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45242-5529
Practice Address - Country:US
Practice Address - Phone:513-791-5688
Practice Address - Fax:513-791-0023
Is Sole Proprietor?:No
Enumeration Date:2011-05-18
Last Update Date:2011-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH6055225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist