Provider Demographics
NPI:1982180477
Name:MERCER, LINDSEY (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:LINDSEY
Middle Name:
Last Name:MERCER
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:75 HILLSIDE AVE
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01841-3251
Mailing Address - Country:US
Mailing Address - Phone:978-828-9738
Mailing Address - Fax:
Practice Address - Street 1:75 HILLSIDE AVE
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01841-3251
Practice Address - Country:US
Practice Address - Phone:978-828-9738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-17
Last Update Date:2020-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA12827225X00000X
OR394630225X00000X
NH2780225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty