Christesen, Lydia Lea

Christesen, Lydia Lea is an individual health care provider with primary practice located at 6916 W Robin Ln , Glendale AZ 85310-5908. She recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand is her primary health care specialty. Christesen, Lydia Lea can be contacted via phone (198) 998-0849.

Contact Information

Primary practice address
6916 W Robin Ln Glendale AZ 85310-5908
Phone: (198) 998-0849
Fax: (928) 777-9975
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Hand 225XH1200X 6118 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 5201001462 Michigan

Profile Details

NPI number 1598764755
LBN Legal business name Christesen, Lydia Lea
Credentials OTR, CHT
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Aug 21st, 2023 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1598764755 NPPES
Arizona MEDICAID 172068

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