Provider Demographics
NPI:1881311983
Name:GREENBERG SCHROEDER, KAREN (OTR)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:GREENBERG SCHROEDER
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24192 RIVERFRONT DR
Mailing Address - Street 2:
Mailing Address - City:PUNTA GORDA
Mailing Address - State:FL
Mailing Address - Zip Code:33980-6502
Mailing Address - Country:US
Mailing Address - Phone:609-839-4980
Mailing Address - Fax:
Practice Address - Street 1:20480 VETERANS BLVD
Practice Address - Street 2:
Practice Address - City:PORT CHARLOTTE
Practice Address - State:FL
Practice Address - Zip Code:33954-2264
Practice Address - Country:US
Practice Address - Phone:609-839-4980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-20
Last Update Date:2022-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL22741225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist