MEDICARE: MS. KAREN WAWRZYN MS OTL CHT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	119000452	VA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00307772	OTHER	VA	RAILROAD MEDICARE

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4478865	OTHER	VA	AETNA
4	192945	OTHER	VA	BCBS OCCUPATIONAL THERAPY
5	0235836	OTHER	VA	DEPT OF LABOR & INDUSTRIES STATE OF WASHINGTON

General Provider Information

NPI Number	:	1750346185
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN WAWRZYN MS OTL CHT

Provider Business Mailing Address
First Line	:	7650 E PARHAM RD STE 100
Second Line	:
City	:	RICHMOND
State	:	VA
Zip	:	23294-4376
Country	:	US
Telephone Number	:	804-282-6338
Fax Number	:	804-285-3237

Provider Business Practice Location Address
First Line	:	1115 BOULDERS PKWY STE 200
Second Line	:
City	:	NORTH CHESTERFIELD
State	:	VA
Zip	:	23225-4067
Country	:	US
Telephone Number	:	804-560-5595
Fax Number	:	804-560-9029

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/19/2006
Last Update Date	:	09/17/2020

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