Provider Demographics
NPI:1285699223
Name:MIGUEL, KAREN E (OTR/L)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:MIGUEL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31 OAK CREST DR
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-2727
Mailing Address - Country:US
Mailing Address - Phone:401-580-4232
Mailing Address - Fax:
Practice Address - Street 1:150 MIDWAY RD
Practice Address - Street 2:SUITE 173
Practice Address - City:CRANSTON
Practice Address - State:RI
Practice Address - Zip Code:02920-5710
Practice Address - Country:US
Practice Address - Phone:401-942-3343
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIOT00859174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist