Provider Demographics
NPI:1669577193
Name:LOYA, LINDY L (MA OTR CHT)
Entity type:Individual
Prefix:
First Name:LINDY
Middle Name:L
Last Name:LOYA
Suffix:
Gender:F
Credentials:MA OTR CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:671 W NAOMI AVE
Mailing Address - Street 2:
Mailing Address - City:ARCADIA
Mailing Address - State:CA
Mailing Address - Zip Code:91007-7502
Mailing Address - Country:US
Mailing Address - Phone:626-446-7027
Mailing Address - Fax:626-566-2787
Practice Address - Street 1:671 W NAOMI AVE
Practice Address - Street 2:
Practice Address - City:ARCADIA
Practice Address - State:CA
Practice Address - Zip Code:91007-7502
Practice Address - Country:US
Practice Address - Phone:626-446-7027
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT4428HTCPAM225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
N004429AOtherOLD PROVIDER NUMBER
P10551OtherOLD UPIN
W16195OtherGROUP
WOT4428AOtherNEW PIN
N004429AOtherOLD PROVIDER NUMBER