Provider Demographics
NPI:1194141150
Name:RITTENHOUSE, KAREN
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:RITTENHOUSE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 HIGH SCHOOL AVE.
Mailing Address - Street 2:SHELBY CITY SCHOOLS
Mailing Address - City:SHELBY
Mailing Address - State:OH
Mailing Address - Zip Code:44875
Mailing Address - Country:US
Mailing Address - Phone:419-342-5456
Mailing Address - Fax:
Practice Address - Street 1:109 AUBURN AVE.
Practice Address - Street 2:AUBURN ELEMENTARY
Practice Address - City:SHELBY
Practice Address - State:OH
Practice Address - Zip Code:44875
Practice Address - Country:US
Practice Address - Phone:419-342-5456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-03-13
Last Update Date:2014-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH003437225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist