Provider Demographics
NPI:1225310709
Name:CHILDS, KARILYN KAY (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:KARILYN
Middle Name:KAY
Last Name:CHILDS
Suffix:
Gender:F
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 1:2943 RIVERSIDE DR
Mailing Address - Street 2:D-E
Mailing Address - City:DANVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:24541-3436
Mailing Address - Country:US
Mailing Address - Phone:186-679-9773
Mailing Address - Fax:
Practice Address - Street 1:2943 RIVERSIDE DR
Practice Address - Street 2:D-E
Practice Address - City:DANVILLE
Practice Address - State:VA
Practice Address - Zip Code:24541-3436
Practice Address - Country:US
Practice Address - Phone:186-679-9773
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119115450225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist