Healthcare Provider Details

I. General information

NPI: 1780532267
Provider Name (Legal Business Name): CAYLA CALLAN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/19/2026
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

19 ROBINSON RD
CLINTON NY
13323-1418
US

IV. Provider business mailing address

19 HOLLANDALE LN APT E
CLIFTON PARK NY
12065-5212
US

V. Phone/Fax

Practice location:
  • Phone: 315-853-6090
  • Fax:
Mailing address:
  • Phone: 646-388-0992
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number031026
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: