Provider Demographics
NPI:1255561205
Name:OBERSTEIN, CAREN J (CAREN OBERSTEIN)
Entity type:Individual
Prefix:
First Name:CAREN
Middle Name:J
Last Name:OBERSTEIN
Suffix:
Gender:F
Credentials:CAREN OBERSTEIN
Other - Prefix:
Other - First Name:CAREN
Other - Middle Name:
Other - Last Name:OBERSTEIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:CAREN OBERSTEIN,OTR
Mailing Address - Street 1:105 E BUENA VISTA DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-2359
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:105 E BUENA VISTA DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-2359
Practice Address - Country:US
Practice Address - Phone:480-748-0564
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-23
Last Update Date:2009-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0286225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist