Provider Demographics
NPI:1023086840
Name:RICHARDSON, LINDA DIANE (OTR, CHT)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:DIANE
Last Name:RICHARDSON
Suffix:
Gender:F
Credentials:OTR, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2189 SALLEE DR
Mailing Address - Street 2:
Mailing Address - City:LEXINGTON
Mailing Address - State:KY
Mailing Address - Zip Code:40513-1218
Mailing Address - Country:US
Mailing Address - Phone:859-523-6981
Mailing Address - Fax:
Practice Address - Street 1:2189 SALLEE DR
Practice Address - Street 2:
Practice Address - City:LEXINGTON
Practice Address - State:KY
Practice Address - Zip Code:40513-1218
Practice Address - Country:US
Practice Address - Phone:859-523-6981
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-08
Last Update Date:2008-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002750-1225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand