MEDICARE: MS. KAREN LEEMHUIS OTR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OC010373	PA

General Provider Information

NPI Number	:	1104954064
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN LEEMHUIS OTR

Provider Business Mailing Address
First Line	:	1611 PEACH ST
Second Line	:
City	:	ERIE
State	:	PA
Zip	:	16501-2109
Country	:	US
Telephone Number	:	814-450-4960
Fax Number	:

Provider Business Practice Location Address
First Line	:	1611 PEACH ST
Second Line	:	SUITE 320
City	:	ERIE
State	:	PA
Zip	:	16501-2122
Country	:	US
Telephone Number	:	814-456-2003
Fax Number	:	814-456-4098

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	11/19/2010

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