Provider Demographics
NPI:1205012366
Name:WORKINGER, KAREN LEE (COTA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LEE
Last Name:WORKINGER
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9276 GAST RD
Mailing Address - Street 2:
Mailing Address - City:BRIDGMAN
Mailing Address - State:MI
Mailing Address - Zip Code:49106-9389
Mailing Address - Country:US
Mailing Address - Phone:269-465-0752
Mailing Address - Fax:
Practice Address - Street 1:31869 CHICAGO TRL
Practice Address - Street 2:REHAB DEPT
Practice Address - City:NEW CARLISLE
Practice Address - State:IN
Practice Address - Zip Code:46552-9639
Practice Address - Country:US
Practice Address - Phone:547-654-2378
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-01-18
Last Update Date:2008-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN32000471A224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant