Provider Demographics
NPI:1578722377
Name:KARAMALEGOS, LENORA GAIL (OTR)
Entity Type:Individual
Prefix:
First Name:LENORA
Middle Name:GAIL
Last Name:KARAMALEGOS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4405 ANDERT RD
Mailing Address - Street 2:
Mailing Address - City:BRYAN
Mailing Address - State:TX
Mailing Address - Zip Code:77808-9407
Mailing Address - Country:US
Mailing Address - Phone:979-224-0207
Mailing Address - Fax:
Practice Address - Street 1:4405 ANDERT RD
Practice Address - Street 2:
Practice Address - City:BRYAN
Practice Address - State:TX
Practice Address - Zip Code:77808-9407
Practice Address - Country:US
Practice Address - Phone:979-224-0207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-05
Last Update Date:2021-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100780225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist