Healthcare Provider Details

I. General information

NPI: 1891925079
Provider Name (Legal Business Name): KAREN PARIS SORENSEN OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/22/2009
Last Update Date: 10/10/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1630 E HERNDON AVE
FRESNO CA
93720-3391
US

IV. Provider business mailing address

511 W VISALIA RD
EXETER CA
93221-1019
US

V. Phone/Fax

Practice location:
  • Phone: 559-256-5200
  • Fax: 559-256-5376
Mailing address:
  • Phone: 559-592-7117
  • Fax: 559-592-7112

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT3599
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT3599
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code225XE1200X
TaxonomyErgonomics Occupational Therapist
License NumberOT3599
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License NumberOT3599
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: