Provider Demographics
NPI:1093739666
Name:STERN, KAREN BECKER (OT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:BECKER
Last Name:STERN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:BECKER
Other - Last Name:RUBIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OT
Mailing Address - Street 1:1001 NW 13 STREET
Mailing Address - Street 2:102
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33486
Mailing Address - Country:US
Mailing Address - Phone:561-392-5131
Mailing Address - Fax:561-392-5161
Practice Address - Street 1:1001 NW 13 STREET
Practice Address - Street 2:102
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33486
Practice Address - Country:US
Practice Address - Phone:561-392-5131
Practice Address - Fax:561-392-5161
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-27
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT8722225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist