Provider Demographics
NPI:1669653119
Name:FARDELMANN, KAREN ROBINSON (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ROBINSON
Last Name:FARDELMANN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:10587 DOUBLE R BLVD
Mailing Address - Street 2:STE 101
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-8909
Mailing Address - Country:US
Mailing Address - Phone:775-324-5371
Mailing Address - Fax:775-852-5373
Practice Address - Street 1:10587 DOUBLE R BLVD
Practice Address - Street 2:STE 101
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-8909
Practice Address - Country:US
Practice Address - Phone:775-324-5371
Practice Address - Fax:775-852-5373
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-26
Last Update Date:2007-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0081225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics