Provider Demographics
NPI:1376785188
Name:LINDSEY, KRISTA (OT)
Entity Type:Individual
Prefix:MRS
First Name:KRISTA
Middle Name:
Last Name:LINDSEY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5353 GOOSEBERRY WAY
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-4630
Mailing Address - Country:US
Mailing Address - Phone:760-579-2266
Mailing Address - Fax:
Practice Address - Street 1:5353 GOOSEBERRY WAY
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92057-4630
Practice Address - Country:US
Practice Address - Phone:760-579-2266
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-03-26
Last Update Date:2009-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3348225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist