Provider Demographics
NPI:1265696041
Name:ABELL, LINDA KAYE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:KAYE
Last Name:ABELL
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 1:4600 LAKE FOREST DR
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47111-9033
Mailing Address - Country:US
Mailing Address - Phone:812-256-9272
Mailing Address - Fax:
Practice Address - Street 1:7823 OLD STATE HWY 60
Practice Address - Street 2:
Practice Address - City:SELLERSBURG
Practice Address - State:IN
Practice Address - Zip Code:47172
Practice Address - Country:US
Practice Address - Phone:812-256-9272
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-11
Last Update Date:2008-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31002554A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN31002554AOtherINDIANA OCCUPATIONAL THERAPIST CERTIFICATION LICENSE NUMBER