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Individual
LINDSEY BOOTS
Active
Individual
LINDSEY BOOTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.008396
IL
225X00000X
Occupational Therapist
Primary
31004331A
IN
225X00000X
Occupational Therapist
R4140
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000504003
BLUE CROSS BLUE SHIELD
IN
05
—
200829300
—
IN
Enumeration date
07/31/2006
Last updated
03/16/2009
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