Doctor Name: | MISS LINDEY DAWN WORKMAN |
NPI Number: | 1073663902 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | 361730-4201 |
Business Practice Address: | 50 N Medical Dr Slc, UT - 841320001 |
Business Phone Number: | 8015812733 |
Business Fax Number: | |
Mailing Address: | 36 Quayle Ave, SALT LAKE CITY |
State: | UT |
Postal Code: | 841151941 |
Phone Number: | 8017254943 |
Fax Number: | |
NPI Enumeration Date: | 01/11/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XN1300X |
License Number: | 361730-4201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | UT |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Neurorehabilitation |
Taxonomy Definition: |