Provider Demographics
NPI:1407275654
Name:DO, CHRISTIAN LINH (OTD OTR/L)
Entity Type:Individual
Prefix:
First Name:CHRISTIAN
Middle Name:LINH
Last Name:DO
Suffix:
Gender:M
Credentials:OTD OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4240 W ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLN
Mailing Address - State:NE
Mailing Address - Zip Code:68503-2827
Mailing Address - Country:US
Mailing Address - Phone:402-570-5578
Mailing Address - Fax:
Practice Address - Street 1:4240 W ST
Practice Address - Street 2:
Practice Address - City:LINCOLN
Practice Address - State:NE
Practice Address - Zip Code:68503-2827
Practice Address - Country:US
Practice Address - Phone:402-570-5578
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE1641225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist