Healthcare Provider Details

I. General information

NPI: 1396942371
Provider Name (Legal Business Name): KAREN ROTHFELD FREEL OTR L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/02/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4353 TULLER RD STE D
DUBLIN OH
43017-5071
US

IV. Provider business mailing address

1277 CLUBVIEW BLVD S
COLUMBUS OH
43235-1649
US

V. Phone/Fax

Practice location:
  • Phone: 614-764-0715
  • Fax:
Mailing address:
  • Phone: 614-885-0563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number000165
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: