Provider Demographics
NPI:1194837674
Name:WURZER, KAREN (OTR)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:WURZER
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 1:245 WESTBURY AVE
Mailing Address - Street 2:
Mailing Address - City:CARLE PLACE
Mailing Address - State:NY
Mailing Address - Zip Code:11514-1604
Mailing Address - Country:US
Mailing Address - Phone:516-333-1481
Mailing Address - Fax:516-333-0549
Practice Address - Street 1:245 WESTBURY AVE
Practice Address - Street 2:
Practice Address - City:CARLE PLACE
Practice Address - State:NY
Practice Address - Zip Code:11514-1604
Practice Address - Country:US
Practice Address - Phone:516-333-1481
Practice Address - Fax:516-333-0549
Is Sole Proprietor?:No
Enumeration Date:2006-08-31
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005639-1225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
QTW171Medicare ID - Type Unspecified