Provider Demographics
NPI:1740434992
Name:LINDER-BROWN, KRISTIN AMBER (OTR/L)
Entity type:Individual
Prefix:
First Name:KRISTIN
Middle Name:AMBER
Last Name:LINDER-BROWN
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 1:5842 HOBE LN
Mailing Address - Street 2:
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-6477
Mailing Address - Country:US
Mailing Address - Phone:651-603-8774
Mailing Address - Fax:605-603-9009
Practice Address - Street 1:6113 3RD AVE S
Practice Address - Street 2:
Practice Address - City:MINNEAPOLIS
Practice Address - State:MN
Practice Address - Zip Code:55419-2508
Practice Address - Country:US
Practice Address - Phone:651-235-1245
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-11-13
Last Update Date:2019-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN102686225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist