Provider Demographics
NPI:1235377193
Name:SPOKANE, KAREN LEE (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LEE
Last Name:SPOKANE
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:LEE
Other - Last Name:VASILIK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS,OTR/L CHT
Mailing Address - Street 1:3729 EASTON NAZARETH HWY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-8344
Mailing Address - Country:US
Mailing Address - Phone:610-258-7094
Mailing Address - Fax:610-258-6107
Practice Address - Street 1:3729 EASTON NAZARETH HWY
Practice Address - Street 2:SUITE 202
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-8338
Practice Address - Country:US
Practice Address - Phone:610-258-7094
Practice Address - Fax:610-258-6107
Is Sole Proprietor?:No
Enumeration Date:2009-01-30
Last Update Date:2011-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC008767225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist