Provider Demographics
NPI:1992305049
Name:TEIXEIRA, KARLA (RRT)
Entity type:Individual
Prefix:
First Name:KARLA
Middle Name:
Last Name:TEIXEIRA
Suffix:
Gender:F
Credentials:RRT
Other - Prefix:
Other - First Name:KARLA
Other - Middle Name:
Other - Last Name:DA SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RRT
Mailing Address - Street 1:15 1/2 RIVERSIDE AVE UNIT B
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06850-3015
Mailing Address - Country:US
Mailing Address - Phone:914-469-3945
Mailing Address - Fax:
Practice Address - Street 1:15 1/2 RIVERSIDE AVE UNIT B
Practice Address - Street 2:
Practice Address - City:NORWALK
Practice Address - State:CT
Practice Address - Zip Code:06850-3015
Practice Address - Country:US
Practice Address - Phone:914-469-3945
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-10-28
Last Update Date:2020-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007258227900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes227900000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Registered