Provider Demographics
NPI:1326057282
Name:KAY, SONIA F (OTR)
Entity Type:Individual
Prefix:DR
First Name:SONIA
Middle Name:F
Last Name:KAY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 S US HWY 1
Mailing Address - Street 2:APT 306
Mailing Address - City:JUPITER
Mailing Address - State:FL
Mailing Address - Zip Code:33477
Mailing Address - Country:US
Mailing Address - Phone:561-622-7296
Mailing Address - Fax:561-207-6201
Practice Address - Street 1:700 S US HIGHWAY 1
Practice Address - Street 2:APT 306
Practice Address - City:JUPITER
Practice Address - State:FL
Practice Address - Zip Code:33477-6916
Practice Address - Country:US
Practice Address - Phone:561-622-7296
Practice Address - Fax:561-207-6201
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT708225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL880012000Medicaid