Provider Demographics
NPI:1376291625
Name:BARCLAY, KAREN ANNE TITTEL (OTR/L)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ANNE TITTEL
Last Name:BARCLAY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2383 REHMEYERS HOLLOW RD
Mailing Address - Street 2:
Mailing Address - City:STEWARTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:17363-7888
Mailing Address - Country:US
Mailing Address - Phone:717-654-7443
Mailing Address - Fax:
Practice Address - Street 1:180 LEADERS HEIGHTS RD STE 1
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17402-4741
Practice Address - Country:US
Practice Address - Phone:717-757-0774
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-15
Last Update Date:2022-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC005694L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist