Provider Demographics
NPI:1942684683
Name:KALTER, BETH (OTR)
Entity Type:Individual
Prefix:MRS
First Name:BETH
Middle Name:
Last Name:KALTER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:888 CLUBHOUSE RD
Mailing Address - Street 2:
Mailing Address - City:WOODMERE
Mailing Address - State:NY
Mailing Address - Zip Code:11598-1905
Mailing Address - Country:US
Mailing Address - Phone:516-375-3295
Mailing Address - Fax:516-706-1875
Practice Address - Street 1:888 CLUBHOUSE RD
Practice Address - Street 2:
Practice Address - City:WOODMERE
Practice Address - State:NY
Practice Address - Zip Code:11598-1905
Practice Address - Country:US
Practice Address - Phone:516-375-3295
Practice Address - Fax:516-706-1875
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-13
Last Update Date:2015-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002989225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist