Provider Demographics
NPI:1093089377
Name:PFLUGRATH, KARL (OTR/L)
Entity Type:Individual
Prefix:
First Name:KARL
Middle Name:
Last Name:PFLUGRATH
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7050 COVEY RD
Mailing Address - Street 2:
Mailing Address - City:FORESTVILLE
Mailing Address - State:CA
Mailing Address - Zip Code:95436-9642
Mailing Address - Country:US
Mailing Address - Phone:707-824-7911
Mailing Address - Fax:707-634-7413
Practice Address - Street 1:7050 COVEY RD
Practice Address - Street 2:
Practice Address - City:FORESTVILLE
Practice Address - State:CA
Practice Address - Zip Code:95436-9642
Practice Address - Country:US
Practice Address - Phone:707-824-7911
Practice Address - Fax:707-634-7413
Is Sole Proprietor?:No
Enumeration Date:2012-03-03
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60413912225XP0200X
CA12002225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics