Basic Information
| Provider Information | |||||||||
| NPI: | 1710276118 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | BROWN | ||||||||
| FirstName: | KARAN | ||||||||
| MiddleName: | |||||||||
| NamePrefix: | MRS. | ||||||||
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| Credential: | COTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1300 RIDGEVIEW ST | ||||||||
| Address2: | |||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933066240 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6613665196 | ||||||||
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| Practice Location | |||||||||
| Address1: | 323 CAMPUS DR | ||||||||
| Address2: | |||||||||
| City: | ARVIN | ||||||||
| State: | CA | ||||||||
| PostalCode: | 932031047 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6618544475 | ||||||||
| FaxNumber: | 6618544950 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/06/2011 | ||||||||
| LastUpdateDate: | 04/06/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 224Z00000X | OTA 225 | CA | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapy Assistant |
No ID Information.