Healthcare Provider Details

I. General information

NPI: 1649327024
Provider Name (Legal Business Name): KARIN H FROST OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/05/2007
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10230 W GRANT ST
WEST ALLIS WI
53227-1310
US

IV. Provider business mailing address

S75W35915 WILTON RD
EAGLE WI
53119-1313
US

V. Phone/Fax

Practice location:
  • Phone: 414-604-4000
  • Fax:
Mailing address:
  • Phone: 414-303-5971
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3355
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: