Karen Jo Agnello
Occupational Therapist - Pediatrics
17528 County Road 51
Boncarbo
, Colorado 81024-2032
Karen Jo Agnello
Occupational Therapist - Pediatrics
17528 County Road 51
Boncarbo
, Colorado 81024-2032
(512) 560-4180
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About
Features
Specialties
- Occupational Therapist - Pediatrics
Languages spoken
- English
Location
First Address
- Karen Jo Agnello
- 17528 County Road 51
- Boncarbo, CO
- Zip : 81024-2032
- Phone : (512) 560-4180
Second Address
- Karen Jo Agnello
- 17528 County Road 51
- Boncarbo, CO
- Zip : 81024-2032
- Phone : (512) 560-4180
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XP0200X | Occupational Therapist - Pediatrics | 3824 | TX |
National Provider Identifier
| NPI | 1023200128 |
|---|---|
| Provider Name | Karen Jo Agnello |
| First Address | Boncarbo, CO 81024-2032 |
| Second Address | Boncarbo, CO 81024-2032 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/08/2007 |
| Last Update Date | 16/08/2019 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.