Healthcare Provider Details

I. General information

NPI: 1043230592
Provider Name (Legal Business Name): KAREN S FOULKS OTR/L, CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 04/05/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

70 S CLEVELAND AVE
WESTERVILLE OH
43081-1397
US

IV. Provider business mailing address

70 S CLEVELAND AVE
WESTERVILLE OH
43081-1397
US

V. Phone/Fax

Practice location:
  • Phone: 614-839-3275
  • Fax: 614-823-8881
Mailing address:
  • Phone: 614-839-3275
  • Fax: 614-547-8881

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XH1200X
TaxonomyHand Occupational Therapist
License NumberOT006639
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: