Provider Demographics
NPI:1851662761
Name:MONIOT, LINDA OLSON (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:LINDA
Middle Name:OLSON
Last Name:MONIOT
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 ARBOR VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BALLSTON LAKE
Mailing Address - State:NY
Mailing Address - Zip Code:12019-9336
Mailing Address - Country:US
Mailing Address - Phone:518-788-8624
Mailing Address - Fax:
Practice Address - Street 1:3 BLUE STREAK BLVD
Practice Address - Street 2:SARATOGA SPRINGS CITY SCHOOL DISTRICT
Practice Address - City:SARATOGA SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12866-5952
Practice Address - Country:US
Practice Address - Phone:518-788-8624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-24
Last Update Date:2012-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY7574163225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY7574163OtherNYS LICENSE