Provider Demographics
NPI:1821403601
Name:CZAJA, KAREN (OTR)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:CZAJA
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 1:60 DRAKE ST
Mailing Address - Street 2:
Mailing Address - City:OAKFIELD
Mailing Address - State:NY
Mailing Address - Zip Code:14125-1125
Mailing Address - Country:US
Mailing Address - Phone:585-948-5461
Mailing Address - Fax:585-948-5461
Practice Address - Street 1:60 DRAKE ST
Practice Address - Street 2:
Practice Address - City:OAKFIELD
Practice Address - State:NY
Practice Address - Zip Code:14125-1125
Practice Address - Country:US
Practice Address - Phone:585-948-5461
Practice Address - Fax:585-948-5461
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-30
Last Update Date:2014-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY63017057225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist