Provider Demographics
NPI:1104540798
Name:THOMAS, CAROLINE LINDSEY (OTR/L, MSOT, MS EXS)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:LINDSEY
Last Name:THOMAS
Suffix:
Gender:F
Credentials:OTR/L, MSOT, MS EXS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 TWO CREEK DR
Mailing Address - Street 2:
Mailing Address - City:LYNCHBURG
Mailing Address - State:VA
Mailing Address - Zip Code:24502-5140
Mailing Address - Country:US
Mailing Address - Phone:336-280-5647
Mailing Address - Fax:
Practice Address - Street 1:501 VES RD
Practice Address - Street 2:
Practice Address - City:LYNCHBURG
Practice Address - State:VA
Practice Address - Zip Code:24503-4638
Practice Address - Country:US
Practice Address - Phone:434-386-3483
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-28
Last Update Date:2022-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119008391225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist