Provider Demographics
NPI:1730781337
Name:KARNBACH, KAYLEIGH (OTA)
Entity type:Individual
Prefix:
First Name:KAYLEIGH
Middle Name:
Last Name:KARNBACH
Suffix:
Gender:F
Credentials:OTA
Other - Prefix:
Other - First Name:KAYLEIGH
Other - Middle Name:
Other - Last Name:FRANKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:200 MEADOW DR
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-1900
Mailing Address - Country:US
Mailing Address - Phone:302-465-0713
Mailing Address - Fax:
Practice Address - Street 1:200 MEADOW DR
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-1900
Practice Address - Country:US
Practice Address - Phone:302-465-0713
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-10
Last Update Date:2020-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE0001991224Z00000X
FLOTA16971224Z00000X
MDA02912224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant