Provider Demographics
NPI:1154602415
Name:CHRISTENSEN, LINDA KAY (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:KAY
Last Name:CHRISTENSEN
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31005 164TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98092-6549
Mailing Address - Country:US
Mailing Address - Phone:253-709-7044
Mailing Address - Fax:
Practice Address - Street 1:1010 SOUTH 336TH STREET
Practice Address - Street 2:SIOTE 210
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6549
Practice Address - Country:US
Practice Address - Phone:253-709-7044
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00000357224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant