Provider Demographics
NPI:1932541075
Name:REILLY, KAREN L (COTA/L)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:REILLY
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:249 GLEN LOCH DRIVE
Mailing Address - Street 2:
Mailing Address - City:HONEY BROOK
Mailing Address - State:PA
Mailing Address - Zip Code:19344
Mailing Address - Country:US
Mailing Address - Phone:610-273-7323
Mailing Address - Fax:
Practice Address - Street 1:101 EAST STATE STREET
Practice Address - Street 2:
Practice Address - City:KENNET SQUARE
Practice Address - State:PA
Practice Address - Zip Code:19348
Practice Address - Country:US
Practice Address - Phone:800-790-9946
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-07-17
Last Update Date:2013-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP007638224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant