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NPI Code Detail

MEDICARE: KAREN FUNK OTR/L

MEDICARE: KAREN FUNK 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
1225X00000XOccupational Therapist63005201NY

General Provider Information

NPI Number : 1508184656
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN FUNK OTR/L
Provider Business Mailing Address
First Line : PO BOX 300
Second Line :
City : NORTH GREECE
State : NY
Zip : 14515-0300
Country : US
Telephone Number : 585-966-2300
Fax Number :
Provider Business Practice Location Address
First Line : 750 MAIDEN LN
Second Line :
City : ROCHESTER
State : NY
Zip : 14615-1230
Country : US
Telephone Number : 585-966-2300
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2010
Last Update Date : 06/01/2010

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