Provider Demographics
NPI:1689154353
Name:OSTRANDER, LINDSEY (COTAL)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:OSTRANDER
Suffix:
Gender:F
Credentials:COTAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:830 KIRTS BLVD STE 305
Mailing Address - Street 2:
Mailing Address - City:TROY
Mailing Address - State:MI
Mailing Address - Zip Code:48084-4892
Mailing Address - Country:US
Mailing Address - Phone:248-760-2121
Mailing Address - Fax:
Practice Address - Street 1:830 KIRTS BLVD STE 305
Practice Address - Street 2:
Practice Address - City:TROY
Practice Address - State:MI
Practice Address - Zip Code:48084-4892
Practice Address - Country:US
Practice Address - Phone:248-760-2121
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-21
Last Update Date:2018-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224ZE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantEnvironmental Modification