Basic Information
| Provider Information | |||||||||
| NPI: | 1972123206 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MAGID | ||||||||
| FirstName: | KARA | ||||||||
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| Credential: | OTR/L | ||||||||
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| Mailing Information | |||||||||
| Address1: | 401 E SAMPLE RD | ||||||||
| Address2: | |||||||||
| City: | DEERFIELD BEACH | ||||||||
| State: | FL | ||||||||
| PostalCode: | 330644441 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 9549414100 | ||||||||
| FaxNumber: | 9549414233 | ||||||||
| Practice Location | |||||||||
| Address1: | 406 SOUTH 4TH STREET | ||||||||
| Address2: | |||||||||
| City: | BASIN | ||||||||
| State: | WY | ||||||||
| PostalCode: | 82410 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3075689399 | ||||||||
| FaxNumber: | 3075689396 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/16/2020 | ||||||||
| LastUpdateDate: | 06/08/2022 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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| NPICertificationDate: | 06/08/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225X00000X | 22105 | FL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Occupational Therapist |
No ID Information.