Provider Demographics
NPI:1104954064
Name:LEEMHUIS, KAREN (OTR)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:LEEMHUIS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1611 PEACH ST
Mailing Address - Street 2:
Mailing Address - City:ERIE
Mailing Address - State:PA
Mailing Address - Zip Code:16501-2109
Mailing Address - Country:US
Mailing Address - Phone:814-450-4960
Mailing Address - Fax:
Practice Address - Street 1:1611 PEACH ST
Practice Address - Street 2:SUITE 320
Practice Address - City:ERIE
Practice Address - State:PA
Practice Address - Zip Code:16501-2122
Practice Address - Country:US
Practice Address - Phone:814-456-2003
Practice Address - Fax:814-456-4098
Is Sole Proprietor?:No
Enumeration Date:2007-03-01
Last Update Date:2010-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC010373225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist