Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT19348 | FL |
NPI | 1902385073 |
---|---|
Provider Name | Karen Kay Razon |
First Address | Altamonte Springs, FL 32714-3146 |
Second Address | Orlando, FL 32804-1331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/08/2018 |
Last Update Date | 09/08/2018 |