Provider Demographics
NPI:1750346185
Name:WAWRZYN, KAREN (MS OTL CHT)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:WAWRZYN
Suffix:
Gender:F
Credentials:MS OTL CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7650 E PARHAM RD STE 100
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23294-4376
Mailing Address - Country:US
Mailing Address - Phone:804-282-6338
Mailing Address - Fax:804-285-3237
Practice Address - Street 1:1115 BOULDERS PKWY STE 200
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23225-4067
Practice Address - Country:US
Practice Address - Phone:804-560-5595
Practice Address - Fax:804-560-9029
Is Sole Proprietor?:No
Enumeration Date:2006-04-19
Last Update Date:2020-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA119000452225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAP00307772OtherRAILROAD MEDICARE
VA010251648Medicaid
VA4478865OtherAETNA
VA192945OtherBCBS OCCUPATIONAL THERAPY
VA0235836OtherDEPT OF LABOR & INDUSTRIES STATE OF WASHINGTON
VA4478865OtherAETNA
VAP00307772OtherRAILROAD MEDICARE