Provider Demographics
NPI:1518448646
Name:DARWIN, KAREN CEIL (COTA)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:CEIL
Last Name:DARWIN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:CEIL
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3611 LAS COLINAS DR APT C
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78731-4856
Mailing Address - Country:US
Mailing Address - Phone:512-506-1106
Mailing Address - Fax:
Practice Address - Street 1:3200 W SLAUGHTER LN
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78748-5706
Practice Address - Country:US
Practice Address - Phone:512-282-0141
Practice Address - Fax:512-282-0451
Is Sole Proprietor?:No
Enumeration Date:2018-08-27
Last Update Date:2018-08-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX207651224ZE0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224ZE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantEnvironmental Modification