Provider Demographics
NPI:1114139169
Name:GELTZER, REBECCA J (OTR CLT-LANA CWT)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:J
Last Name:GELTZER
Suffix:
Gender:F
Credentials:OTR CLT-LANA CWT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1388 E 37TH ST
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11210-5434
Mailing Address - Country:US
Mailing Address - Phone:917-975-8211
Mailing Address - Fax:914-500-2467
Practice Address - Street 1:1388 E 37TH ST
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11210-5434
Practice Address - Country:US
Practice Address - Phone:917-975-8211
Practice Address - Fax:914-500-2467
Is Sole Proprietor?:No
Enumeration Date:2007-05-03
Last Update Date:2023-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009112225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist