Provider Demographics
NPI:1386856714
Name:GARELLO, KAREN DIMAANO (OTRL)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:DIMAANO
Last Name:GARELLO
Suffix:
Gender:F
Credentials:OTRL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7970 ASHLEE FARM RD APT 3
Mailing Address - Street 2:
Mailing Address - City:CORDOVA
Mailing Address - State:TN
Mailing Address - Zip Code:38016-4478
Mailing Address - Country:US
Mailing Address - Phone:901-338-9071
Mailing Address - Fax:
Practice Address - Street 1:955 N GERMANTOWN PKWY
Practice Address - Street 2:
Practice Address - City:CORDOVA
Practice Address - State:TN
Practice Address - Zip Code:38018-6215
Practice Address - Country:US
Practice Address - Phone:901-752-5996
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN0000003383225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist