Provider Demographics
NPI:1750883591
Name:WINDSOR, LINDSEY JO (OTRL)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:JO
Last Name:WINDSOR
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:MS
Other - First Name:LINDSEY
Other - Middle Name:JO
Other - Last Name:HOLBROOK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2130 OJIBWAY TRL
Mailing Address - Street 2:
Mailing Address - City:WEST BRANCH
Mailing Address - State:MI
Mailing Address - Zip Code:48661-9727
Mailing Address - Country:US
Mailing Address - Phone:989-737-8567
Mailing Address - Fax:
Practice Address - Street 1:3727 WILDER RD
Practice Address - Street 2:
Practice Address - City:BAY CITY
Practice Address - State:MI
Practice Address - Zip Code:48706-2367
Practice Address - Country:US
Practice Address - Phone:989-980-9747
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-03-07
Last Update Date:2021-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201010114225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist