Provider Demographics
NPI:1881843704
Name:SANKARAN KUTTY, REKHA (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:REKHA
Middle Name:
Last Name:SANKARAN KUTTY
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 WYNCROFT DRIVE
Mailing Address - Street 2:
Mailing Address - City:MEDIA
Mailing Address - State:PA
Mailing Address - Zip Code:19063-4842
Mailing Address - Country:US
Mailing Address - Phone:610-891-8996
Mailing Address - Fax:
Practice Address - Street 1:100 MEDIA LINE RD.
Practice Address - Street 2:
Practice Address - City:NEWTOWN SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19073-4602
Practice Address - Country:US
Practice Address - Phone:212-356-7355
Practice Address - Fax:610-355-7649
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-16
Last Update Date:2008-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005709L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist