Provider Demographics
NPI:1518202258
Name:LINDENFELSER, GARY JAMES (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:GARY
Middle Name:JAMES
Last Name:LINDENFELSER
Suffix:
Gender:M
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 1:5300 BECKY DR
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15236-2623
Mailing Address - Country:US
Mailing Address - Phone:412-650-8213
Mailing Address - Fax:
Practice Address - Street 1:200 ADAMS AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15243-1028
Practice Address - Country:US
Practice Address - Phone:412-489-3556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-06
Last Update Date:2012-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008223225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist