Provider Demographics
NPI:1225264633
Name:KARPOVICH, AMY C (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:AMY
Middle Name:C
Last Name:KARPOVICH
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:133 VALLEY VIEW RD
Mailing Address - Street 2:
Mailing Address - City:THOMASTON
Mailing Address - State:CT
Mailing Address - Zip Code:06787-1073
Mailing Address - Country:US
Mailing Address - Phone:860-484-4245
Mailing Address - Fax:
Practice Address - Street 1:94 BATTISTONI DR
Practice Address - Street 2:
Practice Address - City:WINSTED
Practice Address - State:CT
Practice Address - Zip Code:06098-1879
Practice Address - Country:US
Practice Address - Phone:860-379-8583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000976224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant