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KAREN BRAZAUSKAS OTR/L
Pediatrics >> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersRegistrant NPI Number: 1063991636
Individual Registrant: KAREN BRAZAUSKAS OTR/L
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
JUMPSTART THERAPY AND FITNESS NETWORK 900 MAIN ST OAKVILLE, CT 06779 US
Tel: 860-945-1301 Fax: --
Tel: 860-945-1301 Fax: --
Contact information for business:
179 DUBLIN HILL RD SOUTHBURY, CT 06488-1896 US
Tel: 203-525-5458 Fax: --
Tel: 203-525-5458 Fax: --
Registration Information:
NPI: 1063991636
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 225XP0200X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist Pediatrics | CT | 001114 |
| Y | 225X00000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers Occupational Therapist | CT | 001114 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
