Basic Information
| Provider Information | |||||||||
| NPI: | 1174729578 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAISER | ||||||||
| FirstName: | NATALIE | ||||||||
| MiddleName: | J. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 105 A NEWTOWN ROAD | ||||||||
| Address2: | SUITE 5 | ||||||||
| City: | DANBURY | ||||||||
| State: | CT | ||||||||
| PostalCode: | 06810 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037390765 | ||||||||
| FaxNumber: | 2037390792 | ||||||||
| Practice Location | |||||||||
| Address1: | 105 NEWTOWN RD # A | ||||||||
| Address2: | SUITE 5 | ||||||||
| City: | DANBURY | ||||||||
| State: | CT | ||||||||
| PostalCode: | 068104114 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2037390765 | ||||||||
| FaxNumber: | 2037390792 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/22/2007 | ||||||||
| LastUpdateDate: | 10/07/2008 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 002923 | CT | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
ID Information
| ID | Type | State | Issuer | Description | 83895 | 01 | CT | AETNA | OTHER | 130002923 | 01 | CT | ANTHEM BC | OTHER |