Provider Demographics
NPI:1093838708
Name:FOWLER-ARIAS, KAREN (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:FOWLER-ARIAS
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18050 LANDING BROOK DR
Mailing Address - Street 2:
Mailing Address - City:HUMBLE
Mailing Address - State:TX
Mailing Address - Zip Code:77346-4406
Mailing Address - Country:US
Mailing Address - Phone:812-454-6652
Mailing Address - Fax:
Practice Address - Street 1:440 U.S 59 LOOP SOUTH
Practice Address - Street 2:#104
Practice Address - City:LIVINGSTON
Practice Address - State:TX
Practice Address - Zip Code:77351-7735
Practice Address - Country:US
Practice Address - Phone:812-454-6652
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-09
Last Update Date:2022-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX225XP0200X
WA00004342171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics