Provider Demographics
NPI:1407230618
Name:ERNST, KARIN E (OTR/L)
Entity Type:Individual
Prefix:
First Name:KARIN
Middle Name:E
Last Name:ERNST
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 1:608 YATESVILLE RD
Mailing Address - Street 2:
Mailing Address - City:PITTSTON
Mailing Address - State:PA
Mailing Address - Zip Code:18640-3340
Mailing Address - Country:US
Mailing Address - Phone:570-650-8242
Mailing Address - Fax:
Practice Address - Street 1:608 YATESVILLE RD
Practice Address - Street 2:
Practice Address - City:PITTSTON
Practice Address - State:PA
Practice Address - Zip Code:18640-3340
Practice Address - Country:US
Practice Address - Phone:570-650-8242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-17
Last Update Date:2022-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC006327L174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist