Provider Demographics
NPI:1457564247
Name:KRAMER, SALLY (OTR)
Entity Type:Individual
Prefix:
First Name:SALLY
Middle Name:
Last Name:KRAMER
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 1:927 SIERRA VISTA LN
Mailing Address - Street 2:
Mailing Address - City:VALLEY COTTAGE
Mailing Address - State:NY
Mailing Address - Zip Code:10989-2724
Mailing Address - Country:US
Mailing Address - Phone:845-358-1187
Mailing Address - Fax:845-358-2767
Practice Address - Street 1:35 PIERMONT RD
Practice Address - Street 2:BUILDING B
Practice Address - City:ROCKLEIGH
Practice Address - State:NJ
Practice Address - Zip Code:07647-2714
Practice Address - Country:US
Practice Address - Phone:201-750-8310
Practice Address - Fax:201-768-0803
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ46TR00338600225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist