Provider Demographics
NPI:1386760601
Name:WARHIT, KAREN MELINDA (O T R)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MELINDA
Last Name:WARHIT
Suffix:
Gender:F
Credentials:O T R
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:43 OLD BRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-1212
Mailing Address - Country:US
Mailing Address - Phone:203-775-2400
Mailing Address - Fax:203-775-5030
Practice Address - Street 1:777 FEDERAL RD
Practice Address - Street 2:SUITE 2
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-2038
Practice Address - Country:US
Practice Address - Phone:203-775-0306
Practice Address - Fax:203-775-3389
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTCT00370225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT15640009OtherPROVIDER NUMBER
CT2077796003OtherPROVIDER NUMBER
CTCT-0000771OtherPROVIDER NUMBER
CT130000370CT03OtherPROVIDER ID
CT5785238OtherPROVIDER NUMBER
CTOV1315OtherPROVIDER NUMBER
CT1151015OtherPROVIDER NUMBER
CTP387124OtherPROVIDER NUMBER
CTQ95661OtherPROVIDER NUMBER