Provider Demographics
NPI:1518175942
Name:PROBST, KAREN LYNN (OT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LYNN
Last Name:PROBST
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:LYNN
Other - Last Name:LAEMMERHIRT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:5077 S WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:NORTH EAST
Mailing Address - State:PA
Mailing Address - Zip Code:16428-5017
Mailing Address - Country:US
Mailing Address - Phone:814-725-0335
Mailing Address - Fax:
Practice Address - Street 1:2301 EDINBORO RD
Practice Address - Street 2:
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16509-3409
Practice Address - Country:US
Practice Address - Phone:814-860-7117
Practice Address - Fax:814-860-7157
Is Sole Proprietor?:No
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC009774225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist