Individual
KARLA D IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3823 E STATE ROAD 64, BRADENTON, FL 34208-9041
(941) 745-5111
Mailing address
3823 E STATE ROAD 64, BRADENTON, FL 34208-9041
(941) 745-5111
(941) 745-5667
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OT009147
OH
225XP0200X
Pediatric Occupational Therapist
Primary
OT9273
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2187155
—
OH
01
—
AB7360731
MEDICARE PIN
OH
01
—
OT9273
OCCUPATIONAL THERAPIST
FL
Enumeration date
03/15/2007
Last updated
11/14/2023
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