Provider Demographics
NPI:1124598214
Name:ROBBINS, KAREN D (OT, CAS)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:D
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:OT, CAS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:236 COUNTY ROAD 1109
Mailing Address - Street 2:
Mailing Address - City:MAUD
Mailing Address - State:TX
Mailing Address - Zip Code:75567-3411
Mailing Address - Country:US
Mailing Address - Phone:903-573-4102
Mailing Address - Fax:
Practice Address - Street 1:236 COUNTY ROAD 1109
Practice Address - Street 2:
Practice Address - City:MAUD
Practice Address - State:TX
Practice Address - Zip Code:75567-3411
Practice Address - Country:US
Practice Address - Phone:903-573-4102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-11-30
Last Update Date:2018-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX101623225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist