Basic Information
| Provider Information | |||||||||
| NPI: | 1871887539 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DOW | ||||||||
| FirstName: | LINDSAY | ||||||||
| MiddleName: | FALCON | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 112 MISSOURI LN | ||||||||
| Address2: | |||||||||
| City: | MOUNT HOLLY | ||||||||
| State: | NC | ||||||||
| PostalCode: | 281201985 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7046915060 | ||||||||
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| Practice Location | |||||||||
| Address1: | 275 BEATTY DR | ||||||||
| Address2: | |||||||||
| City: | BELMONT | ||||||||
| State: | NC | ||||||||
| PostalCode: | 280122715 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7048222550 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 05/30/2011 | ||||||||
| LastUpdateDate: | 01/24/2019 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 8275 | NC | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.