Provider Demographics
NPI:1750693073
Name:KOEN, KARIEN (OTR)
Entity type:Individual
Prefix:MRS
First Name:KARIEN
Middle Name:
Last Name:KOEN
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:KARIEN
Other - Middle Name:
Other - Last Name:KOEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3300 N. MCCOLL RD.
Mailing Address - Street 2:SUITE A
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78501
Mailing Address - Country:US
Mailing Address - Phone:956-661-0475
Mailing Address - Fax:956-661-0482
Practice Address - Street 1:802 SW LAKEVIEW DR
Practice Address - Street 2:
Practice Address - City:GRAIN VALLEY
Practice Address - State:MO
Practice Address - Zip Code:64029-8416
Practice Address - Country:US
Practice Address - Phone:816-714-4723
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-07-02
Last Update Date:2012-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO004911225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist