Provider Demographics
NPI:1851585616
Name:WORTHAM, LINDSAY SALTER (MOT, OTR)
Entity Type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:SALTER
Last Name:WORTHAM
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:MISS
Other - First Name:MARION
Other - Middle Name:LINDSAY
Other - Last Name:SALTER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4960 LITTLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BEAUMONT
Mailing Address - State:TX
Mailing Address - Zip Code:77706-8702
Mailing Address - Country:US
Mailing Address - Phone:409-892-9542
Mailing Address - Fax:
Practice Address - Street 1:4225 LAKE ARTHUR DR
Practice Address - Street 2:
Practice Address - City:PORT ARTHUR
Practice Address - State:TX
Practice Address - Zip Code:77642-6490
Practice Address - Country:US
Practice Address - Phone:409-727-3193
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-04
Last Update Date:2007-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112280225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist