Provider Demographics
NPI:1881849545
Name:KALMANSON, LISA B (OT)
Entity Type:Individual
Prefix:MRS
First Name:LISA
Middle Name:B
Last Name:KALMANSON
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:53 PARK DR
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1122
Mailing Address - Country:US
Mailing Address - Phone:914-498-3626
Mailing Address - Fax:914-244-0238
Practice Address - Street 1:53 PARK DR
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1122
Practice Address - Country:US
Practice Address - Phone:914-498-3626
Practice Address - Fax:914-244-0238
Is Sole Proprietor?:No
Enumeration Date:2008-11-22
Last Update Date:2008-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005077-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist