Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT7760 | FL |
NPI | 1003188335 |
---|---|
Provider Name | Ms. Gloria Karlin |
First Address | Naples, FL 34110-1413 |
Second Address | Naples, FL 34110-1413 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/02/2012 |
Last Update Date | 11/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
40935B | (02) | FL |