Provider Demographics
NPI:1730434820
Name:CROCHET, LINDSAY REBECCA (MOTR/L)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:REBECCA
Last Name:CROCHET
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:MRS
Other - First Name:LINDSAY
Other - Middle Name:REBECCA
Other - Last Name:SCHNIEDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MOTR/L
Mailing Address - Street 1:648 DECIDUOUS LOOP
Mailing Address - Street 2:
Mailing Address - City:MADISONVILLE
Mailing Address - State:LA
Mailing Address - Zip Code:70447-3614
Mailing Address - Country:US
Mailing Address - Phone:954-881-5826
Mailing Address - Fax:
Practice Address - Street 1:653 MYRTLE DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-8225
Practice Address - Country:US
Practice Address - Phone:985-983-4700
Practice Address - Fax:985-893-3211
Is Sole Proprietor?:No
Enumeration Date:2012-07-16
Last Update Date:2019-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA200654225X00000X
FL15151225X00000X
LAOTT.200654225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist