Provider Demographics
NPI:1689098063
Name:BEECHLER, LINDA (COTA/L)
Entity Type:Individual
Prefix:
First Name:LINDA
Middle Name:
Last Name:BEECHLER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5520 HEYWOOD RD
Mailing Address - Street 2:
Mailing Address - City:SANDUSKY
Mailing Address - State:OH
Mailing Address - Zip Code:44870-8311
Mailing Address - Country:US
Mailing Address - Phone:419-684-5357
Mailing Address - Fax:
Practice Address - Street 1:5906 BOGART RD W
Practice Address - Street 2:
Practice Address - City:CASTALIA
Practice Address - State:OH
Practice Address - Zip Code:44824-9714
Practice Address - Country:US
Practice Address - Phone:419-684-5357
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-02-06
Last Update Date:2014-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOTA.04758224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH288600OtherCERTIFICATION # THROUGH NBCOT