Provider Demographics
NPI:1417383423
Name:ROSS, LINDSAY RAE (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:LINDSAY
Middle Name:RAE
Last Name:ROSS
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 1:19 HAVERHILL RD
Mailing Address - Street 2:
Mailing Address - City:WINDHAM
Mailing Address - State:NH
Mailing Address - Zip Code:03087-1594
Mailing Address - Country:US
Mailing Address - Phone:603-845-1554
Mailing Address - Fax:
Practice Address - Street 1:19 HAVERHILL RD
Practice Address - Street 2:
Practice Address - City:WINDHAM
Practice Address - State:NH
Practice Address - Zip Code:03087-1594
Practice Address - Country:US
Practice Address - Phone:603-845-1554
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-23
Last Update Date:2020-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2305225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist