Provider Demographics
NPI:1467830877
Name:PALOZEJ, KARALYN
Entity Type:Individual
Prefix:
First Name:KARALYN
Middle Name:
Last Name:PALOZEJ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2 ELLRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:ELLINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06029-3633
Mailing Address - Country:US
Mailing Address - Phone:860-508-5928
Mailing Address - Fax:
Practice Address - Street 1:2 ELLRIDGE PL
Practice Address - Street 2:
Practice Address - City:ELLINGTON
Practice Address - State:CT
Practice Address - Zip Code:06029-3633
Practice Address - Country:US
Practice Address - Phone:860-508-5028
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-05-18
Last Update Date:2015-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT4430225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist