Provider Demographics
NPI:1770738494
Name:DIEL, LINDSEY LENETTE (COTA)
Entity type:Individual
Prefix:MRS
First Name:LINDSEY
Middle Name:LENETTE
Last Name:DIEL
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5673 JIM ROBINSON RD
Mailing Address - Street 2:
Mailing Address - City:BASTROP
Mailing Address - State:LA
Mailing Address - Zip Code:71220-6612
Mailing Address - Country:US
Mailing Address - Phone:318-669-4793
Mailing Address - Fax:
Practice Address - Street 1:5673 JIM ROBINSON RD
Practice Address - Street 2:
Practice Address - City:BASTROP
Practice Address - State:LA
Practice Address - Zip Code:71220-6612
Practice Address - Country:US
Practice Address - Phone:318-669-4793
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-21
Last Update Date:2010-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant