Provider Demographics
NPI:1295087807
Name:MELTON, LINDSAY ZEIGLER (OT)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ZEIGLER
Last Name:MELTON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:LINDASY
Other - Middle Name:L
Other - Last Name:ZEIGLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10 NEW KING ST
Mailing Address - Street 2:SUITE 105
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10604-1205
Mailing Address - Country:US
Mailing Address - Phone:914-390-9880
Mailing Address - Fax:914-390-9881
Practice Address - Street 1:2744 ASHERS FORK DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37128-4943
Practice Address - Country:US
Practice Address - Phone:615-603-7690
Practice Address - Fax:615-603-7690
Is Sole Proprietor?:No
Enumeration Date:2012-10-05
Last Update Date:2012-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN3546225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist