Provider Demographics
NPI:1063693117
Name:STUMPO, KAREN M (OTR/L)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:STUMPO
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1508 WEST ST
Mailing Address - Street 2:
Mailing Address - City:HONESDALE
Mailing Address - State:PA
Mailing Address - Zip Code:18431-1764
Mailing Address - Country:US
Mailing Address - Phone:570-253-0151
Mailing Address - Fax:
Practice Address - Street 1:650 OLD WILLOW AVE
Practice Address - Street 2:
Practice Address - City:HONESDALE
Practice Address - State:PA
Practice Address - Zip Code:18431-4218
Practice Address - Country:US
Practice Address - Phone:570-253-7322
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-16
Last Update Date:2007-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics