Basic Information
Provider Information
NPI: 1003009200
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: KARJALAINEN
FirstName: TERESA
MiddleName: RAMONA
NamePrefix:  
NameSuffix:  
Credential: OTR
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 2040 E HAWTHORNE ST
Address2:  
City: TUCSON
State: AZ
PostalCode: 857194936
CountryCode: US
TelephoneNumber: 7204040816
FaxNumber:  
Practice Location
Address1: 1010 E 10TH ST
Address2:  
City: TUCSON
State: AZ
PostalCode: 857195813
CountryCode: US
TelephoneNumber: 7204040816
FaxNumber:  
Other Information
ProviderEnumerationDate: 08/21/2007
LastUpdateDate: 08/21/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X3957AZY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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