Provider Demographics
NPI:1972756443
Name:CALISE, LINDA M (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:LINDA
Middle Name:M
Last Name:CALISE
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 1:138 W 92ND ST
Mailing Address - Street 2:# 3 R
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10025-7511
Mailing Address - Country:US
Mailing Address - Phone:917-692-1056
Mailing Address - Fax:
Practice Address - Street 1:138 W 92ND ST
Practice Address - Street 2:# 3 R
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10025-7511
Practice Address - Country:US
Practice Address - Phone:917-692-1056
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-28
Last Update Date:2008-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY8717-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics