Provider Demographics
NPI:1750777017
Name:GOUDE, LINDSAY CHRISTINE (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:LINDSAY
Middle Name:CHRISTINE
Last Name:GOUDE
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:LINDSAY
Other - Middle Name:
Other - Last Name:FISHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8477 S SUNCOAST BLVD
Mailing Address - Street 2:
Mailing Address - City:HOMOSASSA
Mailing Address - State:FL
Mailing Address - Zip Code:34446-5028
Mailing Address - Country:US
Mailing Address - Phone:800-381-0822
Mailing Address - Fax:352-556-5201
Practice Address - Street 1:8477 S SUNCOAST BLVD
Practice Address - Street 2:
Practice Address - City:HOMOSASSA
Practice Address - State:FL
Practice Address - Zip Code:34446-5028
Practice Address - Country:US
Practice Address - Phone:800-381-0822
Practice Address - Fax:352-556-5201
Is Sole Proprietor?:No
Enumeration Date:2015-04-13
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOTA12896224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant