Provider Demographics
NPI:1407186257
Name:PICUS, KAREN SUE (EDD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:SUE
Last Name:PICUS
Suffix:
Gender:F
Credentials:EDD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:123 E TAMARACK DR
Mailing Address - Street 2:
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-5117
Mailing Address - Country:US
Mailing Address - Phone:702-565-4517
Mailing Address - Fax:702-565-4517
Practice Address - Street 1:123 E TAMARACK DR
Practice Address - Street 2:
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-5117
Practice Address - Country:US
Practice Address - Phone:702-767-7269
Practice Address - Fax:702-565-4517
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-29
Last Update Date:2010-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV0664225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist