Provider Demographics
NPI:1053314567
Name:THOMAS, KAREN ANN (OTR/L,CHT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:THOMAS
Suffix:
Gender:F
Credentials:OTR/L,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10304 N HAYDEN RD
Mailing Address - Street 2:SUITE 8
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-1217
Mailing Address - Country:US
Mailing Address - Phone:480-429-5266
Mailing Address - Fax:480-429-5297
Practice Address - Street 1:10304 N HAYDEN RD
Practice Address - Street 2:SUITE 8
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85258-1217
Practice Address - Country:US
Practice Address - Phone:480-429-5266
Practice Address - Fax:480-429-5297
Is Sole Proprietor?:Yes
Enumeration Date:2005-05-30
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0395225X00000X, 225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Not Answered225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZR10769Medicare UPIN
AZ109202Medicare PIN