Provider Demographics
NPI:1558835504
Name:CARTER, KATHARINE (OTR/L)
Entity Type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:CARTER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:CARTER
Other - Last Name:HANN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:3864 ADLER PL
Mailing Address - Street 2:
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18017-8100
Mailing Address - Country:US
Mailing Address - Phone:610-625-4959
Mailing Address - Fax:
Practice Address - Street 1:3864 ADLER PL
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18017-8100
Practice Address - Country:US
Practice Address - Phone:610-625-4959
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-13
Last Update Date:2022-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC016038225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist