Individual provider · Type 1 NPI

Stacia L. Lyndrup, O.T.R.

Occupational Therapist · Detroit, MI

NPI number 1265634885 Active

Practice location

22101 Moross Rd
Detroit, MI 48236-2148

Mailing address

22338 Harris Ct
Macomb, MI 48044-6217

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000XL708074 (MI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1265634885

Stacia L. Lyndrup, O.T.R.'s National Provider Identifier is 1265634885, issued on Jun 5, 2007. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Detroit, MI. The record was last updated on Jul 8, 2007.