Provider Demographics
NPI:1851052401
Name:SKIBINSKI, KARENA (MOTR/L)
Entity Type:Individual
Prefix:
First Name:KARENA
Middle Name:
Last Name:SKIBINSKI
Suffix:
Gender:F
Credentials:MOTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3925 N FORDHAM PL
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45213-2326
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3925 N FORDHAM PL
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45213-2326
Practice Address - Country:US
Practice Address - Phone:317-518-4087
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-05
Last Update Date:2022-10-24
Deactivation Date:2022-02-02
Deactivation Code:
Reactivation Date:2022-10-24
Provider Licenses
StateLicense IDTaxonomies
OHOT009719225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist