Provider Demographics
NPI:1831811363
Name:KARKAZIAN, ALEEK MARTA (OTD, OTR/L)
Entity type:Individual
Prefix:DR
First Name:ALEEK
Middle Name:MARTA
Last Name:KARKAZIAN
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6569 N RIVERSIDE DR STE 102-359
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93722-9318
Mailing Address - Country:US
Mailing Address - Phone:559-347-8477
Mailing Address - Fax:
Practice Address - Street 1:5248 W BROWNING AVE
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93722-2548
Practice Address - Country:US
Practice Address - Phone:559-347-8477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-09-12
Last Update Date:2022-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA15865225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist