Basic Information
Provider Information
NPI: 1942225107
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CSIZMADIA
FirstName: KAREN
MiddleName: WALDMAN
NamePrefix: MRS.
NameSuffix:  
Credential: OTR/L
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 229 WYCLIFFE DR
Address2:  
City: GREER
State: SC
PostalCode: 296504055
CountryCode: US
TelephoneNumber: 8643226441
FaxNumber:  
Practice Location
Address1: 9-D MAPLE TREE CT
Address2:  
City: GREENVILLE
State: SC
PostalCode: 29615
CountryCode: US
TelephoneNumber: 8646270009
FaxNumber: 8646270333
Other Information
ProviderEnumerationDate: 07/12/2006
LastUpdateDate: 07/08/2007
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XP0200X  Y Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics

No ID Information.


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