Provider Demographics
NPI:1780926766
Name:SCAHILL, LYNDEN (OTR/L)
Entity type:Individual
Prefix:
First Name:LYNDEN
Middle Name:
Last Name:SCAHILL
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 1:1469 ELM CT
Mailing Address - Street 2:
Mailing Address - City:BANDON
Mailing Address - State:OR
Mailing Address - Zip Code:97411-8881
Mailing Address - Country:US
Mailing Address - Phone:402-304-7505
Mailing Address - Fax:
Practice Address - Street 1:1469 ELM CT
Practice Address - Street 2:
Practice Address - City:BANDON
Practice Address - State:OR
Practice Address - Zip Code:97411-8881
Practice Address - Country:US
Practice Address - Phone:402-304-7505
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-03-18
Last Update Date:2013-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OR294907225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist