Basic Information
Provider Information
NPI: 1346483237
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: VELDMAN
FirstName: LINDA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 277 HYDRAULIC RIDGE RD
Address2: SUITE 102
City: CHARLOTTESVILLE
State: VA
PostalCode: 229018127
CountryCode: US
TelephoneNumber: 4345296248
FaxNumber: 8886515732
Practice Location
Address1: 1421 3RD ST SW
Address2:  
City: ROANOKE
State: VA
PostalCode: 240165204
CountryCode: US
TelephoneNumber: 5409822208
FaxNumber: 5409827637
Other Information
ProviderEnumerationDate: 04/08/2009
LastUpdateDate: 12/14/2016
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X0119004835VAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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