Provider Demographics
NPI:1669698270
Name:LIN, HSIANG Y (OTR)
Entity type:Individual
Prefix:MISS
First Name:HSIANG
Middle Name:Y
Last Name:LIN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1662 COMMONWEALTH AVE
Mailing Address - Street 2:APT 54
Mailing Address - City:BRIGHTON
Mailing Address - State:MA
Mailing Address - Zip Code:02135-5609
Mailing Address - Country:US
Mailing Address - Phone:617-821-1493
Mailing Address - Fax:
Practice Address - Street 1:1662 COMMONWEALTH AVE
Practice Address - Street 2:APT 54
Practice Address - City:BRIGHTON
Practice Address - State:MA
Practice Address - Zip Code:02135-5609
Practice Address - Country:US
Practice Address - Phone:617-821-1493
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8937225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist