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Individual
KARISSA ANN PAVELKA SIMON
Active
Individual
KARISSA ANN PAVELKA SIMON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
020867
NY
225X00000X
Occupational Therapist
07208
MD
225X00000X
Occupational Therapist
46TR00816700
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/02/2012
Last updated
10/23/2022
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