Provider Demographics
NPI:1285918417
Name:KASHDAN, DAVID ALLEN (OTR/L)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:ALLEN
Last Name:KASHDAN
Suffix:
Gender:M
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 1:1608 CEDAR SPRINGS CT
Mailing Address - Street 2:
Mailing Address - City:LAGRANGE
Mailing Address - State:KY
Mailing Address - Zip Code:40031-9085
Mailing Address - Country:US
Mailing Address - Phone:502-667-0019
Mailing Address - Fax:
Practice Address - Street 1:1608 CEDAR SPRINGS CT
Practice Address - Street 2:
Practice Address - City:LA GRANGE
Practice Address - State:KY
Practice Address - Zip Code:40031-9086
Practice Address - Country:US
Practice Address - Phone:502-667-0019
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2011-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation