Provider Demographics
NPI:1649555053
Name:UTZINGER, CYNTHIA LINKE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CYNTHIA
Middle Name:LINKE
Last Name:UTZINGER
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 1:16105 GLEN MIRO DR
Mailing Address - Street 2:
Mailing Address - City:HUNTERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28078-2259
Mailing Address - Country:US
Mailing Address - Phone:704-906-9132
Mailing Address - Fax:
Practice Address - Street 1:514 WILLIAMSON RD
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9225
Practice Address - Country:US
Practice Address - Phone:704-360-2595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-17
Last Update Date:2011-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC3890225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist