Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | OT006639 | OH |
NPI | 1043230592 |
---|---|
Provider Name | Karen S Foulks |
First Address | Westerville, OH 43081-1397 |
Second Address | Westerville, OH 43081-1397 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/07/2006 |
Last Update Date | 05/04/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
4187782 | MEDICARE PTAN (01) | OH |