Provider Demographics
NPI:1679014708
Name:RICHARDSON, LINDSEY E (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:E
Last Name:RICHARDSON
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 1:4401 BELLE OAKS DR STE 280
Mailing Address - Street 2:
Mailing Address - City:NORTH CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29405-8504
Mailing Address - Country:US
Mailing Address - Phone:843-302-0424
Mailing Address - Fax:
Practice Address - Street 1:11 TODD DR
Practice Address - Street 2:
Practice Address - City:BEAUFORT
Practice Address - State:SC
Practice Address - Zip Code:29902-6113
Practice Address - Country:US
Practice Address - Phone:843-524-8911
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-03-08
Last Update Date:2017-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4919225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist