Provider Demographics
NPI:1205001856
Name:KAESER, JEFFREY (OTR/L)
Entity Type:Individual
Prefix:
First Name:JEFFREY
Middle Name:
Last Name:KAESER
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 SUGAR CANE DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-9444
Mailing Address - Country:US
Mailing Address - Phone:912-224-3065
Mailing Address - Fax:
Practice Address - Street 1:351 WILMINGTON ISLAND RD
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-3851
Practice Address - Country:US
Practice Address - Phone:912-898-9711
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-04-24
Last Update Date:2008-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT003491225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist