Provider Demographics
NPI:1346614948
Name:PUOPOLO, KAREN (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:PUOPOLO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:CUNEO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7214 STONEHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:WAXHAW
Mailing Address - State:NC
Mailing Address - Zip Code:28173-7385
Mailing Address - Country:US
Mailing Address - Phone:704-821-0568
Mailing Address - Fax:704-821-0570
Practice Address - Street 1:7214 STONEHAVEN DR
Practice Address - Street 2:
Practice Address - City:WAXHAW
Practice Address - State:NC
Practice Address - Zip Code:28173-7385
Practice Address - Country:US
Practice Address - Phone:704-821-0568
Practice Address - Fax:704-821-0570
Is Sole Proprietor?:No
Enumeration Date:2015-11-19
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC10700225X00000X
PAOC014167225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist