Provider Demographics
NPI:1134927445
Name:SMALL, LINDSAY ASHLINN (OTR/L)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:ASHLINN
Last Name:SMALL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:ASHLINN
Other - Last Name:GARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:114 CHERRY GLEN WAY
Mailing Address - Street 2:
Mailing Address - City:EUHARLEE
Mailing Address - State:GA
Mailing Address - Zip Code:30145-2711
Mailing Address - Country:US
Mailing Address - Phone:678-739-7755
Mailing Address - Fax:
Practice Address - Street 1:3540 COBB PKWY NW STE 300
Practice Address - Street 2:
Practice Address - City:ACWORTH
Practice Address - State:GA
Practice Address - Zip Code:30101-4179
Practice Address - Country:US
Practice Address - Phone:678-501-6300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-03-04
Last Update Date:2025-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT009443225XP0019X, 225XP0200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics