Provider Demographics
NPI:1053038919
Name:HOLMES, KARYNA PEREIRA (OTR/L)
Entity type:Individual
Prefix:
First Name:KARYNA
Middle Name:PEREIRA
Last Name:HOLMES
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 PINE ST APT 236
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06040-8413
Mailing Address - Country:US
Mailing Address - Phone:860-549-6290
Mailing Address - Fax:
Practice Address - Street 1:505 WILLARD AVE STE 1
Practice Address - Street 2:
Practice Address - City:NEWINGTON
Practice Address - State:CT
Practice Address - Zip Code:06111-2630
Practice Address - Country:US
Practice Address - Phone:860-665-8265
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-10-21
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist