Provider Demographics
NPI:1992375984
Name:REIDA, LINDA J
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:J
Last Name:REIDA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8C W HILL DR
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MA
Mailing Address - Zip Code:01473-1142
Mailing Address - Country:US
Mailing Address - Phone:978-798-0569
Mailing Address - Fax:
Practice Address - Street 1:567 PEARL ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-1715
Practice Address - Country:US
Practice Address - Phone:978-632-4432
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-30
Last Update Date:2021-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist