Provider Demographics
NPI:1184926131
Name:O'DONOGHUE, LINDSEY M (OTR/L)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:M
Last Name:O'DONOGHUE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:63B WILDBROOK LN
Mailing Address - Street 2:
Mailing Address - City:ELIOT
Mailing Address - State:ME
Mailing Address - Zip Code:03903-1235
Mailing Address - Country:US
Mailing Address - Phone:508-789-5172
Mailing Address - Fax:
Practice Address - Street 1:3 LOVING KINDNESS WAY
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:ME
Practice Address - Zip Code:03903
Practice Address - Country:US
Practice Address - Phone:207-363-4321
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-11-24
Last Update Date:2023-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2151225X00000X
MEOT3056225X00000X
MA10194225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist