Healthcare Provider Details

I. General information

NPI: 1932575693
Provider Name (Legal Business Name): SYDNEY C KAUF OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/18/2015
Last Update Date: 10/01/2020
Certification Date: 10/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

746 STATE ROUTE 37 W
DELAWARE OH
43015-1461
US

IV. Provider business mailing address

74 W WILLIAM ST
DELAWARE OH
43015-2339
US

V. Phone/Fax

Practice location:
  • Phone: 740-833-1100
  • Fax:
Mailing address:
  • Phone: 614-507-7614
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateOH
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT010964
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: