Provider Demographics
NPI:1932334208
Name:PRATT, KAREN (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:PRATT
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18 BOG POND RD
Mailing Address - Street 2:
Mailing Address - City:WINTHROP
Mailing Address - State:ME
Mailing Address - Zip Code:04364-4228
Mailing Address - Country:US
Mailing Address - Phone:207-620-6166
Mailing Address - Fax:
Practice Address - Street 1:5 GENDRON DR
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-1048
Practice Address - Country:US
Practice Address - Phone:207-795-4022
Practice Address - Fax:207-795-4082
Is Sole Proprietor?:No
Enumeration Date:2009-05-15
Last Update Date:2023-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT2307225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist