Provider Demographics
NPI:1003188335
Name:KARLIN, GLORIA (OTR)
Entity Type:Individual
Prefix:MS
First Name:GLORIA
Middle Name:
Last Name:KARLIN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1660 MEDICAL BLVD
Mailing Address - Street 2:SUITE 200
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1413
Mailing Address - Country:US
Mailing Address - Phone:239-566-3434
Mailing Address - Fax:877-812-5411
Practice Address - Street 1:1660 MEDICAL BLVD
Practice Address - Street 2:SUITE 200
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1413
Practice Address - Country:US
Practice Address - Phone:239-566-3434
Practice Address - Fax:877-812-5411
Is Sole Proprietor?:No
Enumeration Date:2012-02-02
Last Update Date:2014-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT7760225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL40935Medicare PIN
FLGF517ZMedicare PIN
FL40935BMedicare UPIN