Individual provider · Type 1 NPI
Karissa Ann Pavelka Simon, MS, OTR/L
Student in an Organized Health Care Education/Training Program · Manlius, NY
NPI number
1184980310
Active
Practice location
8092 Verbeck Dr
Manlius, NY 13104-9312
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Occupational Therapist | 225X00000X | 020867 (NY) |
| Occupational Therapist | 225X00000X | 07208 (MD) |
| Occupational Therapist | 225X00000X | 46TR00816700 (NJ) |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Manlius
About NPI 1184980310
Karissa Ann Pavelka Simon, MS, OTR/L's National Provider Identifier is 1184980310, issued on Apr 2, 2012. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Manlius, NY. The record was last updated on Oct 23, 2022.