Provider Demographics
NPI:1477285336
Name:MCDONALD, LINDA LEE (OTR/L)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:LEE
Last Name:MCDONALD
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 COUNTY RD APT 5
Mailing Address - Street 2:
Mailing Address - City:HOLYOKE
Mailing Address - State:MA
Mailing Address - Zip Code:01040-9534
Mailing Address - Country:US
Mailing Address - Phone:413-250-7254
Mailing Address - Fax:
Practice Address - Street 1:610 COUNTY RD APT 5
Practice Address - Street 2:
Practice Address - City:HOLYOKE
Practice Address - State:MA
Practice Address - Zip Code:01040-9534
Practice Address - Country:US
Practice Address - Phone:413-250-7254
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-29
Last Update Date:2022-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist