Provider Demographics
NPI:1134547334
Name:HALLGREN, KAREN (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:HALLGREN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5800 COOPER FOSTER PARK RD W
Mailing Address - Street 2:LZ2-204
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-4131
Mailing Address - Country:US
Mailing Address - Phone:440-204-7850
Mailing Address - Fax:440-204-7855
Practice Address - Street 1:5800 COOPER FOSTER PARK RD W
Practice Address - Street 2:LZ2-204
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-4131
Practice Address - Country:US
Practice Address - Phone:440-204-7850
Practice Address - Fax:440-204-7855
Is Sole Proprietor?:No
Enumeration Date:2014-04-03
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-003228225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist