Individual
MRS. KATHLEEN ANN LINDQUIST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
29 PINEWOOD DR, COMMACK, NY 11725-5612
(631) 499-1237
Mailing address
3193 WILLIAM ST, WANTAGH, NY 11793-3830
(516) 785-1979
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
005608-1
NY
Other
Enumeration date
02/04/2011
Last updated
02/04/2011
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