Provider Demographics
NPI:1407427594
Name:KARR, JAMES G (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:G
Last Name:KARR
Suffix:
Gender:M
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 1:3633 IMPERIAL AVE
Mailing Address - Street 2:
Mailing Address - City:ROSAMOND
Mailing Address - State:CA
Mailing Address - Zip Code:93560-7681
Mailing Address - Country:US
Mailing Address - Phone:310-463-0728
Mailing Address - Fax:
Practice Address - Street 1:3633 IMPERIAL AVE
Practice Address - Street 2:
Practice Address - City:ROSAMOND
Practice Address - State:CA
Practice Address - Zip Code:93560-7681
Practice Address - Country:US
Practice Address - Phone:310-463-0728
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2788225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist