MEDICARE: KARSEN SAWYER

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	224Z00000X	Occupational Therapy Assistant	14796	NC

General Provider Information

NPI Number	:	1437893724
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARSEN SAWYER

Provider Business Mailing Address
First Line	:	10747 EDENOAKS ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92131-3225
Country	:	US
Telephone Number	:	805-807-4252
Fax Number	:

Provider Business Practice Location Address
First Line	:	19901 W CATAWBA AVE STE 104
Second Line	:
City	:	CORNELIUS
State	:	NC
Zip	:	28031-4040
Country	:	US
Telephone Number	:	704-610-8250
Fax Number	:

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

Provider Enumeration Date	:	04/23/2022
Last Update Date	:	04/23/2022

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