Provider Demographics
NPI:1225871874
Name:GUEST, LINDSAY M (COTA/L)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:M
Last Name:GUEST
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 1:292 S LA CIENEGA BLVD STE 250
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90211-3357
Mailing Address - Country:US
Mailing Address - Phone:310-954-9614
Mailing Address - Fax:
Practice Address - Street 1:292 S LA CIENEGA BLVD STE 250
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90211-3357
Practice Address - Country:US
Practice Address - Phone:310-954-9614
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-13
Last Update Date:2024-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOTA6800224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant