Provider Demographics
NPI:1487633467
Name:LEPORE, KARLA MAE (MS OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KARLA
Middle Name:MAE
Last Name:LEPORE
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:MAE
Other - Last Name:SLATER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:206 PARK BLVD
Mailing Address - Street 2:UNIT 203
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-7444
Mailing Address - Country:US
Mailing Address - Phone:858-863-3848
Mailing Address - Fax:
Practice Address - Street 1:34800 BOB WILSON DRIVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92134-1098
Practice Address - Country:US
Practice Address - Phone:619-532-7135
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-10
Last Update Date:2012-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6587225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist