Individual
KAYLA CHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ORT/L
Contact information
Practice address
725 LEONARD ST, BROOKLYN, NY 11222-2350
(347) 472-4792
Mailing address
1600 HALF MOON BAY DR, CROTON ON HUDSON, NY 10520-3120
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
029655
NY DEPARTMENT OF EDUCATION
NY
01
—
522529
NBCOT
—
Enumeration date
11/18/2024
Last updated
11/18/2024
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