Provider Demographics
NPI:1841390523
Name:LESSON, KAREN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:LESSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KALENA
Other - Middle Name:
Other - Last Name:LESSON
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:18674 CAMINITO CANTILENA
Mailing Address - Street 2:#251
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92128-6127
Mailing Address - Country:US
Mailing Address - Phone:858-673-0990
Mailing Address - Fax:
Practice Address - Street 1:11665 AVENA PL
Practice Address - Street 2:SUITE 106
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92128-2421
Practice Address - Country:US
Practice Address - Phone:858-673-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3719225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics