Healthcare Provider Details

I. General information

NPI: 1457564247
Provider Name (Legal Business Name): SALLY KRAMER OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 PIERMONT RD BUILDING B
ROCKLEIGH NJ
07647-2714
US

IV. Provider business mailing address

927 SIERRA VISTA LN
VALLEY COTTAGE NY
10989-2724
US

V. Phone/Fax

Practice location:
  • Phone: 201-750-8310
  • Fax: 201-768-0803
Mailing address:
  • Phone: 845-358-1187
  • Fax: 845-358-2767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number46TR00338600
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: