Provider Demographics
NPI:1669657722
Name:KAY, BETTY H (OTR/L)
Entity Type:Individual
Prefix:
First Name:BETTY
Middle Name:H
Last Name:KAY
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 1:1415 QUEEN ANNE RD
Mailing Address - Street 2:204
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-3521
Mailing Address - Country:US
Mailing Address - Phone:718-753-7655
Mailing Address - Fax:201-357-4395
Practice Address - Street 1:1415 QUEEN ANNE RD
Practice Address - Street 2:204
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-3521
Practice Address - Country:US
Practice Address - Phone:718-753-7655
Practice Address - Fax:201-357-4395
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-07
Last Update Date:2008-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00129200225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist