Provider Demographics
NPI:1205479821
Name:STERNBERG COVER, KARLA W (OTR, SCLV, CLVT, MOT)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:W
Last Name:STERNBERG COVER
Suffix:
Gender:F
Credentials:OTR, SCLV, CLVT, MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3007 MAPLE GROVE LN
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77092-7519
Mailing Address - Country:US
Mailing Address - Phone:281-935-9762
Mailing Address - Fax:
Practice Address - Street 1:440 BENMAR DR STE 3020
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77060-3171
Practice Address - Country:US
Practice Address - Phone:832-328-5994
Practice Address - Fax:832-328-5403
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-27
Last Update Date:2020-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX112529225XL0004X, 225XN1300X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XL0004XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistLow Vision
No225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX112529OtherTEXAS OT LICENSE - TBOTE