Healthcare Provider Details

I. General information

NPI: 1578785069
Provider Name (Legal Business Name): KAREN MARIE LAW-DECKER OTR-L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN MARIE LAW OTR-L

II. Dates (important events)

Enumeration Date: 05/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1335 JOHNSON RD
CHAMBERSBURG PA
17201-7505
US

IV. Provider business mailing address

742 FIR SPRING DR
WAYNESBORO PA
17268-2913
US

V. Phone/Fax

Practice location:
  • Phone: 717-263-1617
  • Fax:
Mailing address:
  • Phone: 717-977-0294
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOC009409
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: