Provider Demographics
NPI:1780088633
Name:HELGESEN, KELSEY LU (OTR/L)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:LU
Last Name:HELGESEN
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 1:432 E 120TH ST
Mailing Address - Street 2:APT 1W
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10035-3619
Mailing Address - Country:US
Mailing Address - Phone:720-949-5313
Mailing Address - Fax:
Practice Address - Street 1:432 E 120TH ST
Practice Address - Street 2:APT 1W
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10035-3619
Practice Address - Country:US
Practice Address - Phone:720-949-5313
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-10-21
Last Update Date:2014-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0191191225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist