Provider Demographics
NPI:1336356088
Name:LAMBERT, KELLEY L (OTR)
Entity Type:Individual
Prefix:MRS
First Name:KELLEY
Middle Name:L
Last Name:LAMBERT
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 1:4 HUNTS LN
Mailing Address - Street 2:
Mailing Address - City:CROSS RIVER
Mailing Address - State:NY
Mailing Address - Zip Code:10518-1507
Mailing Address - Country:US
Mailing Address - Phone:914-763-9490
Mailing Address - Fax:
Practice Address - Street 1:40 TRIANGLE CTR
Practice Address - Street 2:SUITE 215
Practice Address - City:YORKTOWN HEIGHTS
Practice Address - State:NY
Practice Address - Zip Code:10598-4188
Practice Address - Country:US
Practice Address - Phone:014-962-5413
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY039960-1225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand