=====================================================
General NPI Number Information
=====================================================
NPI Number | 1366305203
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KARIE CURRIE OTR/L
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/08/2025
-----------------------------------------------------
Last Update Date | 12/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2410 14TH ST S
-----------------------------------------------------
City | MOORHEAD
-----------------------------------------------------
State | MN
-----------------------------------------------------
Zip | 56560-4657
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 218-284-3858
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3016 6TH ST E
-----------------------------------------------------
City | WEST FARGO
-----------------------------------------------------
State | ND
-----------------------------------------------------
Zip | 58078-4235
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 218-285-3858
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225XP0200X
-----------------------------------------------------
Taxonomy Name | Pediatric Occupational Therapist
-----------------------------------------------------
License Number | 103395
-----------------------------------------------------
License Number State | MN
-----------------------------------------------------