Provider Demographics
NPI:1588983027
Name:PEAY, KAREN M (OT002832)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:M
Last Name:PEAY
Suffix:
Gender:F
Credentials:OT002832
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:M
Other - Last Name:PEAY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OT 002832
Mailing Address - Street 1:2338 HERITAGE PARK CIR NW
Mailing Address - Street 2:
Mailing Address - City:KENNESAW
Mailing Address - State:GA
Mailing Address - Zip Code:30144-4837
Mailing Address - Country:US
Mailing Address - Phone:404-732-2351
Mailing Address - Fax:
Practice Address - Street 1:70 BIRCH ALY
Practice Address - Street 2:SUITE 240
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45440-1479
Practice Address - Country:US
Practice Address - Phone:877-480-6398
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAOT002832225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist