Individual
KATIE A LINGLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01652
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665711
—
IA
01
—
56277
BLUE CROSS BLUE SHIELD
IA
01
—
I20664
MEDICARE
IA
Enumeration date
08/01/2006
Last updated
12/27/2007
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