Provider Demographics
NPI:1407182298
Name:BRUGGER, LINDSEY ERIN (MS OTR/L)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:ERIN
Last Name:BRUGGER
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:162 LITTLE CREEK DR
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14616-1547
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:72 BENDING CREEK RD
Practice Address - Street 2:APT. 4
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-2143
Practice Address - Country:US
Practice Address - Phone:585-295-3779
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-28
Last Update Date:2011-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015830-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist