Provider Demographics
NPI:1497824338
Name:FELTHAM, KAREN A (OTR, ATP)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:A
Last Name:FELTHAM
Suffix:
Gender:F
Credentials:OTR, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4960 COUNTY ROAD 20
Mailing Address - Street 2:
Mailing Address - City:RUSHSYLVANIA
Mailing Address - State:OH
Mailing Address - Zip Code:43347-9749
Mailing Address - Country:US
Mailing Address - Phone:937-468-2874
Mailing Address - Fax:937-468-2874
Practice Address - Street 1:4960 COUNTY ROAD 20
Practice Address - Street 2:
Practice Address - City:RUSHSYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43347-9749
Practice Address - Country:US
Practice Address - Phone:937-468-2874
Practice Address - Fax:937-468-2874
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-00157225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist