Provider Demographics
NPI:1366562399
Name:SCIMECA, KAREN (MOT, OTR)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SCIMECA
Suffix:
Gender:F
Credentials:MOT, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19256 OUTER BANK RD
Mailing Address - Street 2:
Mailing Address - City:NOBLESVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46062-8117
Mailing Address - Country:US
Mailing Address - Phone:317-340-4987
Mailing Address - Fax:
Practice Address - Street 1:19256 OUTER BANK RD
Practice Address - Street 2:
Practice Address - City:NOBLESVILLE
Practice Address - State:IN
Practice Address - Zip Code:46062-8117
Practice Address - Country:US
Practice Address - Phone:317-340-4987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-31
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31004010A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist