Provider Demographics
NPI:1134203409
Name:ROY, KAREN ANN (OTR)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:ANN
Last Name:ROY
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8115 HIGHWAY 403
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:IN
Mailing Address - Zip Code:47111-8744
Mailing Address - Country:US
Mailing Address - Phone:812-256-5120
Mailing Address - Fax:812-256-5126
Practice Address - Street 1:8115 HIGHWAY 403
Practice Address - Street 2:
Practice Address - City:CHARLESTOWN
Practice Address - State:IN
Practice Address - Zip Code:47111-8744
Practice Address - Country:US
Practice Address - Phone:812-256-5120
Practice Address - Fax:812-256-5126
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-24
Last Update Date:2012-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31000103A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist