Provider Demographics
NPI:1811511264
Name:ENRICH OCCUPATIONAL THERAPY
Entity type:Organization
Organization Name:ENRICH OCCUPATIONAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER/MANAGER , OTR/L
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:WOOD
Authorized Official - Last Name:FIEKERS
Authorized Official - Suffix:
Authorized Official - Credentials:OTR/L
Authorized Official - Phone:802-922-3293
Mailing Address - Street 1:2419 VETRINA WAY
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27502-7747
Mailing Address - Country:US
Mailing Address - Phone:802-922-3293
Mailing Address - Fax:919-267-9090
Practice Address - Street 1:2419 VETRINA WAY
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27502-7747
Practice Address - Country:US
Practice Address - Phone:802-922-3293
Practice Address - Fax:919-267-9090
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-02
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty