Provider Demographics
NPI:1689873838
Name:KELLEHER, SARAH KATHRYN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SARAH
Middle Name:KATHRYN
Last Name:KELLEHER
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 1:128 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:ALLENTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:08501-1618
Mailing Address - Country:US
Mailing Address - Phone:609-259-2161
Mailing Address - Fax:609-631-2862
Practice Address - Street 1:3575 QUAKERBRIDGE RD
Practice Address - Street 2:CHILDREN'S SPECIALIZED HOSPITAL
Practice Address - City:HAMILTON
Practice Address - State:NJ
Practice Address - Zip Code:08619-1205
Practice Address - Country:US
Practice Address - Phone:609-631-2800
Practice Address - Fax:609-631-2862
Is Sole Proprietor?:No
Enumeration Date:2007-07-17
Last Update Date:2007-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00322700174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist