Provider Demographics
NPI:1558585745
Name:LINDER, ELAINE (OTR)
Entity Type:Individual
Prefix:
First Name:ELAINE
Middle Name:
Last Name:LINDER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:BARBARA
Other - Middle Name:E
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:397 GREYSTONE WAY
Mailing Address - Street 2:
Mailing Address - City:PRATTVILLE
Mailing Address - State:AL
Mailing Address - Zip Code:36066-3620
Mailing Address - Country:US
Mailing Address - Phone:334-361-9806
Mailing Address - Fax:
Practice Address - Street 1:2511 FAIRLANE DR STE 100
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36116-1650
Practice Address - Country:US
Practice Address - Phone:334-832-4523
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL0918225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist