Provider Demographics
NPI:1235605742
Name:KELNER, SARAH BETH (MS-OTR/L, CLT)
Entity Type:Individual
Prefix:
First Name:SARAH
Middle Name:BETH
Last Name:KELNER
Suffix:
Gender:F
Credentials:MS-OTR/L, CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:323 PINE ST APT 503
Mailing Address - Street 2:
Mailing Address - City:JERSEY CITY
Mailing Address - State:NJ
Mailing Address - Zip Code:07304-4333
Mailing Address - Country:US
Mailing Address - Phone:908-510-6668
Mailing Address - Fax:
Practice Address - Street 1:95 GREENE ST
Practice Address - Street 2:
Practice Address - City:JERSEY CITY
Practice Address - State:NJ
Practice Address - Zip Code:07302-3815
Practice Address - Country:US
Practice Address - Phone:201-449-8700
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-10-23
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00844500225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist