Provider Demographics
NPI:1023782471
Name:YAROSH, KAREN
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:YAROSH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:114 CEDAR SWAMP RD
Mailing Address - Street 2:
Mailing Address - City:TOLLAND
Mailing Address - State:CT
Mailing Address - Zip Code:06084-3610
Mailing Address - Country:US
Mailing Address - Phone:860-794-5650
Mailing Address - Fax:
Practice Address - Street 1:114 CEDAR SWAMP RD
Practice Address - Street 2:
Practice Address - City:TOLLAND
Practice Address - State:CT
Practice Address - Zip Code:06084-3610
Practice Address - Country:US
Practice Address - Phone:860-794-5650
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-08
Last Update Date:2021-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist