Provider Demographics
NPI:1063505923
Name:SIRAN-LOUGHERY, KAREN (OT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:SIRAN-LOUGHERY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9011 SIERRA PALMS WAY
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89074-6969
Mailing Address - Country:US
Mailing Address - Phone:702-768-3845
Mailing Address - Fax:702-617-4357
Practice Address - Street 1:9011 SIERRA PALMS WAY
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89074-6969
Practice Address - Country:US
Practice Address - Phone:702-227-4477
Practice Address - Fax:702-617-4357
Is Sole Proprietor?:No
Enumeration Date:2006-10-02
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0571225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist