Provider Demographics
NPI:1972123206
Name:MAGID, KARA (OTR/L)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:MAGID
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 E SAMPLE RD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33064-4441
Mailing Address - Country:US
Mailing Address - Phone:954-941-4100
Mailing Address - Fax:954-941-4233
Practice Address - Street 1:406 SOUTH 4TH STREET
Practice Address - Street 2:
Practice Address - City:BASIN
Practice Address - State:WY
Practice Address - Zip Code:82410
Practice Address - Country:US
Practice Address - Phone:307-568-9399
Practice Address - Fax:307-568-9396
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2022-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22105225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist