Provider Demographics
NPI:1376944355
Name:LADD, CHRISTOPHER LYNN (OTR)
Entity Type:Individual
Prefix:
First Name:CHRISTOPHER
Middle Name:LYNN
Last Name:LADD
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3045 MARINA BAY DR
Mailing Address - Street 2:APT 11309
Mailing Address - City:LEAGUE CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77573-2737
Mailing Address - Country:US
Mailing Address - Phone:512-413-5168
Mailing Address - Fax:
Practice Address - Street 1:3045 MARINA BAY DR
Practice Address - Street 2:APT 11309
Practice Address - City:LEAGUE CITY
Practice Address - State:TX
Practice Address - Zip Code:77573-2737
Practice Address - Country:US
Practice Address - Phone:512-413-5168
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-10
Last Update Date:2014-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist