Provider Demographics
NPI:1568165116
Name:BRAND, LINDSEY JANE (OTD, OTR/L)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:JANE
Last Name:BRAND
Suffix:
Gender:F
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 1:7050 BIDDULPH RD
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:OH
Mailing Address - Zip Code:44144-3312
Mailing Address - Country:US
Mailing Address - Phone:216-313-9044
Mailing Address - Fax:
Practice Address - Street 1:2133 MONTGOMERY AVE
Practice Address - Street 2:
Practice Address - City:WOODBRIDGE
Practice Address - State:VA
Practice Address - Zip Code:22191-2655
Practice Address - Country:US
Practice Address - Phone:703-494-3817
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-03-23
Last Update Date:2023-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119009902225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist