Provider Demographics
NPI:1750030045
Name:PFEIFER, LINDSEY (COTA/L)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:PFEIFER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:MARIE
Other - Last Name:PFEIFER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:2545 S HARVARD PL APT C
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74114-4634
Mailing Address - Country:US
Mailing Address - Phone:918-645-7201
Mailing Address - Fax:
Practice Address - Street 1:2545 S HARVARD PL APT C
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74114-4634
Practice Address - Country:US
Practice Address - Phone:918-645-7201
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-22
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1135224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantGroup - Single Specialty