Healthcare Provider Details

I. General information

NPI: 1235377193
Provider Name (Legal Business Name): KAREN LEE SPOKANE MS, OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KAREN LEE VASILIK MS,OTR/L CHT

II. Dates (important events)

Enumeration Date: 01/30/2009
Last Update Date: 03/17/2026
Certification Date: 03/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3601 RICHLAND AVE W
AIKEN SC
29801-6416
US

IV. Provider business mailing address

1200 CORPORATE DR STE 400
HOOVER AL
35242-5424
US

V. Phone/Fax

Practice location:
  • Phone: 803-226-9035
  • Fax:
Mailing address:
  • Phone: 423-702-4389
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License NumberOT006537
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7914
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: