Provider Demographics
NPI:1992383566
Name:KLOSOWSKI, CAROLINE TAMSYN STEWART (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:CAROLINE
Middle Name:TAMSYN STEWART
Last Name:KLOSOWSKI
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:CAROLINE
Other - Middle Name:STEWART TAMSYN
Other - Last Name:ELLIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:200 LOTHROP ST # F1048
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15213-2536
Mailing Address - Country:US
Mailing Address - Phone:412-648-6287
Mailing Address - Fax:
Practice Address - Street 1:200 LOTHROP ST # F1048
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15213-2536
Practice Address - Country:US
Practice Address - Phone:412-648-6287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-01
Last Update Date:2021-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC01419225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist