Provider Demographics
NPI:1265636070
Name:HOLLIMAN, KAREN A (MA, OTR)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:HOLLIMAN
Suffix:
Gender:F
Credentials:MA, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 FOX CHASE DR
Mailing Address - Street 2:
Mailing Address - City:HERSHEY
Mailing Address - State:PA
Mailing Address - Zip Code:17033-9700
Mailing Address - Country:US
Mailing Address - Phone:717-533-3245
Mailing Address - Fax:
Practice Address - Street 1:21 FOX CHASE DR
Practice Address - Street 2:
Practice Address - City:HERSHEY
Practice Address - State:PA
Practice Address - Zip Code:17033-9700
Practice Address - Country:US
Practice Address - Phone:717-533-3245
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-14
Last Update Date:2013-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC001331L225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics