Provider Demographics
NPI:1124657226
Name:CLAYTOR, EMILY (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:EMILY
Middle Name:
Last Name:CLAYTOR
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 GREENWOOD AVE APT 4A
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11218-1364
Mailing Address - Country:US
Mailing Address - Phone:540-529-8850
Mailing Address - Fax:
Practice Address - Street 1:311 E 94TH ST
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10128-5683
Practice Address - Country:US
Practice Address - Phone:540-529-8850
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics