Provider Demographics
NPI:1548499189
Name:VERTULLO, LINDSAY PATRICIA (OTR/L)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:PATRICIA
Last Name:VERTULLO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 JESSICA LN
Mailing Address - Street 2:
Mailing Address - City:WAKEFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01880-1252
Mailing Address - Country:US
Mailing Address - Phone:617-851-5315
Mailing Address - Fax:781-258-9975
Practice Address - Street 1:3 JESSICA LN
Practice Address - Street 2:
Practice Address - City:WAKEFIELD
Practice Address - State:MA
Practice Address - Zip Code:01880-1252
Practice Address - Country:US
Practice Address - Phone:617-851-5315
Practice Address - Fax:781-262-3337
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-03
Last Update Date:2025-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA8936225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist