Provider Demographics
NPI:1972853893
Name:DRIEMEYER, LINDSAY (OTR/L)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:
Last Name:DRIEMEYER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:WALKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1500 BURLINGAME AVE APT 2
Mailing Address - Street 2:
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-5130
Mailing Address - Country:US
Mailing Address - Phone:703-915-5984
Mailing Address - Fax:
Practice Address - Street 1:1500 BURLINGAME AVE APT 2
Practice Address - Street 2:
Practice Address - City:BURLINGAME
Practice Address - State:CA
Practice Address - Zip Code:94010-5130
Practice Address - Country:US
Practice Address - Phone:703-915-5984
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-09-18
Last Update Date:2012-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10767225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics