MEDICARE: KARENA G KLABUNDE OTR/L

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	27905	CA

General Provider Information

NPI Number	:	1518833896
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARENA G KLABUNDE OTR/L

Provider Business Mailing Address
First Line	:	318 HEMLEY TRL
Second Line	:
City	:	WAKE FOREST
State	:	NC
Zip	:	27587-3062
Country	:	US
Telephone Number	:	703-994-9539
Fax Number	:

Provider Business Practice Location Address
First Line	:	3901 BROADWAY
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94611-5615
Country	:	US
Telephone Number	:	510-830-3900
Fax Number	:

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

Provider Enumeration Date	:	10/14/2025
Last Update Date	:	10/14/2025

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