Basic Information
| Provider Information | |||||||||
| NPI: | 1043518897 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | PRANGA | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | HASSETT | ||||||||
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| Credential: | MS OTR/L CHT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 545 CENTRE VIEW BLVD | ||||||||
| Address2: | |||||||||
| City: | CRESTVIEW HILLS | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410173444 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593314263 | ||||||||
| FaxNumber: | 8593441711 | ||||||||
| Practice Location | |||||||||
| Address1: | 545 CENTRE VIEW BLVD | ||||||||
| Address2: | CRESTVIEW HILLS BLVD. | ||||||||
| City: | CRESTVIEW HILLS | ||||||||
| State: | KY | ||||||||
| PostalCode: | 410173444 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8593314263 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/03/2011 | ||||||||
| LastUpdateDate: | 05/18/2016 | ||||||||
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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 | 225XH1200X | OT1686 | OH | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist | Hand |
No ID Information.