Healthcare Provider Details

I. General information

NPI: 1831283878
Provider Name (Legal Business Name): KAREN E JAMES OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/03/2006
Last Update Date: 02/22/2024
Certification Date: 02/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2700 QUARRY LAKE DR STE 300
BALTIMORE MD
21209-3746
US

IV. Provider business mailing address

2700 QUARRY LAKE DR STE 300
BALTIMORE MD
21209-3746
US

V. Phone/Fax

Practice location:
  • Phone: 410-377-8900
  • Fax: 410-377-0576
Mailing address:
  • Phone: 410-377-8900
  • Fax: 410-377-0576

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number01908
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License Number01908
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: