MEDICARE: KAREN A. FELTHAM OTR, ATP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT-00157	OH

General Provider Information

NPI Number	:	1497824338
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN A. FELTHAM OTR, ATP

Provider Business Mailing Address
First Line	:	4960 COUNTY ROAD 20
Second Line	:
City	:	RUSHSYLVANIA
State	:	OH
Zip	:	43347-9749
Country	:	US
Telephone Number	:	937-468-2874
Fax Number	:	937-468-2874

Provider Business Practice Location Address
First Line	:	4960 COUNTY ROAD 20
Second Line	:
City	:	RUSHSYLVANIA
State	:	OH
Zip	:	43347-9749
Country	:	US
Telephone Number	:	937-468-2874
Fax Number	:	937-468-2874

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

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