Provider Demographics
NPI:1346382017
Name:SAMES, KAREN MARCUS (OTR)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MARCUS
Last Name:SAMES
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1363 SAINT ANDREW BLVD
Mailing Address - Street 2:
Mailing Address - City:EAGAN
Mailing Address - State:MN
Mailing Address - Zip Code:55123-2157
Mailing Address - Country:US
Mailing Address - Phone:651-452-7845
Mailing Address - Fax:651-690-8804
Practice Address - Street 1:5695 BLAINE AVE.
Practice Address - Street 2:
Practice Address - City:INVER GROVE HEIGHTS
Practice Address - State:MN
Practice Address - Zip Code:55076
Practice Address - Country:US
Practice Address - Phone:651-554-9940
Practice Address - Fax:651-554-9941
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN100484225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist