Provider Demographics
NPI:1659615136
Name:KARAFILIS, NANCY (COTA/L)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:KARAFILIS
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 PHEASANT RISE CT
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1523
Mailing Address - Country:US
Mailing Address - Phone:412-257-8491
Mailing Address - Fax:
Practice Address - Street 1:119 PHEASANT RISE CT
Practice Address - Street 2:
Practice Address - City:BRIDGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:15017-1523
Practice Address - Country:US
Practice Address - Phone:412-257-8491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-21
Last Update Date:2012-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP000686L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant