Provider Demographics
NPI:1629809108
Name:TAURAN, KATARINA ROBERTA (OTD, OTR)
Entity type:Individual
Prefix:
First Name:KATARINA
Middle Name:ROBERTA
Last Name:TAURAN
Suffix:
Gender:F
Credentials:OTD, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8800 W US HIGHWAY 290 APT 325
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78736-7853
Mailing Address - Country:US
Mailing Address - Phone:909-935-5753
Mailing Address - Fax:
Practice Address - Street 1:5715 MESA DR
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78731-3773
Practice Address - Country:US
Practice Address - Phone:855-446-1603
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX124853225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist