Provider Demographics
NPI:1245365964
Name:LINDAHL, MARIA (AT, ATC)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:
Last Name:LINDAHL
Suffix:
Gender:F
Credentials:AT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:348 LONG RAPIDS PLZ
Mailing Address - Street 2:
Mailing Address - City:ALPENA
Mailing Address - State:MI
Mailing Address - Zip Code:49707-1374
Mailing Address - Country:US
Mailing Address - Phone:989-358-8086
Mailing Address - Fax:989-354-2253
Practice Address - Street 1:348 LONG RAPIDS PLZ
Practice Address - Street 2:
Practice Address - City:ALPENA
Practice Address - State:MI
Practice Address - Zip Code:49707-1374
Practice Address - Country:US
Practice Address - Phone:989-358-8086
Practice Address - Fax:989-354-2253
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer