Provider Demographics
NPI:1659731263
Name:KADEN, PAIGE CLAIRE (OTR/L)
Entity Type:Individual
Prefix:
First Name:PAIGE
Middle Name:CLAIRE
Last Name:KADEN
Suffix:
Gender:F
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 1:3412 N AVERS AVE
Mailing Address - Street 2:
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60618-5214
Mailing Address - Country:US
Mailing Address - Phone:847-962-0057
Mailing Address - Fax:
Practice Address - Street 1:249 W 76TH ST
Practice Address - Street 2:4A
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10023-8236
Practice Address - Country:US
Practice Address - Phone:847-962-0057
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-25
Last Update Date:2020-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY020355225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist