Provider Demographics
NPI:1962420356
Name:STANTON, LINDA S (OTR/L, CHT)
Entity type:Individual
Prefix:MISS
First Name:LINDA
Middle Name:S
Last Name:STANTON
Suffix:
Gender:F
Credentials:OTR/L, CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11201 S EASTERN AVE
Mailing Address - Street 2:STE 220
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89052-6201
Mailing Address - Country:US
Mailing Address - Phone:702-614-0324
Mailing Address - Fax:702-341-0324
Practice Address - Street 1:11201 S EASTERN AVE
Practice Address - Street 2:STE 220
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89052-6201
Practice Address - Country:US
Practice Address - Phone:702-614-0324
Practice Address - Fax:702-341-0324
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0095225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV38640Medicare ID - Type Unspecified