Provider Demographics
NPI:1992071443
Name:UHL, LYNDA LEE (OTR/L)
Entity type:Individual
Prefix:MS
First Name:LYNDA
Middle Name:LEE
Last Name:UHL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LYNDA
Other - Middle Name:UHL
Other - Last Name:RUF
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:1415 E. THIRD AVE.
Mailing Address - Street 2:MARY G CLARKSOP ELEMENTARY SCHOOL
Mailing Address - City:BAY SHORE
Mailing Address - State:NY
Mailing Address - Zip Code:11706-4221
Mailing Address - Country:US
Mailing Address - Phone:631-968-1205
Mailing Address - Fax:631-968-2461
Practice Address - Street 1:1415 E. THIRD AVE.
Practice Address - Street 2:MARY G CLARKSOP ELEMENTARY SCHOOL
Practice Address - City:BAY SHORE
Practice Address - State:NY
Practice Address - Zip Code:11706-4221
Practice Address - Country:US
Practice Address - Phone:631-968-1205
Practice Address - Fax:631-968-2461
Is Sole Proprietor?:No
Enumeration Date:2012-03-29
Last Update Date:2012-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
011064225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist