Provider Demographics
NPI:1831287846
Name:BERNARDS, KAREN LEIGH (OT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:LEIGH
Last Name:BERNARDS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26510 MISTLETOE CT
Mailing Address - Street 2:
Mailing Address - City:VALENCIA
Mailing Address - State:CA
Mailing Address - Zip Code:91355-3525
Mailing Address - Country:US
Mailing Address - Phone:818-326-2831
Mailing Address - Fax:
Practice Address - Street 1:26510 MISTLETOE CT
Practice Address - Street 2:
Practice Address - City:VALENCIA
Practice Address - State:CA
Practice Address - Zip Code:91355-3525
Practice Address - Country:US
Practice Address - Phone:818-326-2831
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8894225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CATBDMedicare ID - Type UnspecifiedWILL SUBMIT W/ NPI