Provider Demographics
NPI:1295999712
Name:HILL, KAREN (LOT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:LOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2400 HIGHWAY 287 N
Mailing Address - Street 2:STE 116
Mailing Address - City:MANSFIELD
Mailing Address - State:TX
Mailing Address - Zip Code:76063-4828
Mailing Address - Country:US
Mailing Address - Phone:817-689-2295
Mailing Address - Fax:817-477-3114
Practice Address - Street 1:2400 HIGHWAY 287 N
Practice Address - Street 2:STE 116
Practice Address - City:MANSFIELD
Practice Address - State:TX
Practice Address - Zip Code:76063-4828
Practice Address - Country:US
Practice Address - Phone:817-689-2295
Practice Address - Fax:817-477-3114
Is Sole Proprietor?:No
Enumeration Date:2008-07-14
Last Update Date:2008-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX100695225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist