Provider Demographics
NPI:1962805234
Name:WILLIAMSON, LINDSAY GRACE (OTR/L)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:GRACE
Last Name:WILLIAMSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:GRACE
Other - Last Name:BROOKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:14130 23RD AVE N
Mailing Address - Street 2:
Mailing Address - City:PLYMOUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55447-4904
Mailing Address - Country:US
Mailing Address - Phone:763-383-7666
Mailing Address - Fax:
Practice Address - Street 1:14130 23RD AVE N
Practice Address - Street 2:
Practice Address - City:PLYMOUTH
Practice Address - State:MN
Practice Address - Zip Code:55447-4904
Practice Address - Country:US
Practice Address - Phone:763-383-7666
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-01
Last Update Date:2015-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN104659225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist