MEDICARE: KAREN K CARREY MA, OTR/L

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	OT 10190	CA

General Provider Information

NPI Number	:	1124343744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN K CARREY MA, OTR/L

Provider Business Mailing Address
First Line	:	616 23RD ST
Second Line	:
City	:	SANTA MONICA
State	:	CA
Zip	:	90402-3130
Country	:	US
Telephone Number	:	310-650-8065
Fax Number	:	310-394-8476

Provider Business Practice Location Address
First Line	:	1431 7TH ST
Second Line	:	STE 203
City	:	SANTA MONICA
State	:	CA
Zip	:	90401-2637
Country	:	US
Telephone Number	:	310-650-8065
Fax Number	:	310-394-8476

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

Provider Enumeration Date	:	04/07/2010
Last Update Date	:	10/31/2016

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