Provider Demographics
NPI:1710276118
Name:BROWN, KARAN (COTA)
Entity Type:Individual
Prefix:MRS
First Name:KARAN
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:COTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 RIDGEVIEW ST
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93306-6240
Mailing Address - Country:US
Mailing Address - Phone:661-366-5196
Mailing Address - Fax:
Practice Address - Street 1:323 CAMPUS DR
Practice Address - Street 2:
Practice Address - City:ARVIN
Practice Address - State:CA
Practice Address - Zip Code:93203-1047
Practice Address - Country:US
Practice Address - Phone:661-854-4475
Practice Address - Fax:661-854-4950
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-06
Last Update Date:2011-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOTA 225224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant