Provider Demographics
NPI:1740338896
Name:VANALSTINE, KAREN MARIE (OTR)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:MARIE
Last Name:VANALSTINE
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 1:3636 GATES RD
Mailing Address - Street 2:
Mailing Address - City:DECKERVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:48427-9399
Mailing Address - Country:US
Mailing Address - Phone:810-376-8114
Mailing Address - Fax:810-376-8114
Practice Address - Street 1:3636 GATES RD
Practice Address - Street 2:
Practice Address - City:DECKERVILLE
Practice Address - State:MI
Practice Address - Zip Code:48427-9399
Practice Address - Country:US
Practice Address - Phone:810-376-8114
Practice Address - Fax:810-376-8114
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201004323225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist