Provider Demographics
NPI:1811089634
Name:SPRAGUE, LINDA ANN (OTR/L, DRS)
Entity type:Individual
Prefix:
First Name:LINDA
Middle Name:ANN
Last Name:SPRAGUE
Suffix:
Gender:F
Credentials:OTR/L, DRS
Other - Prefix:
Other - First Name:LINDA
Other - Middle Name:ANN
Other - Last Name:FARRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L, DRS
Mailing Address - Street 1:43 NEW SCOTLAND AVE
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12208-3412
Mailing Address - Country:US
Mailing Address - Phone:518-262-3291
Mailing Address - Fax:518-262-4492
Practice Address - Street 1:43 NEW SCOTLAND AVE
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12208-3412
Practice Address - Country:US
Practice Address - Phone:518-262-3291
Practice Address - Fax:518-262-4492
Is Sole Proprietor?:No
Enumeration Date:2006-09-29
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005321-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist