Provider Demographics
NPI:1366705436
Name:DE LA HARPE, KAREN SUSANNE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SUSANNE
Last Name:DE LA HARPE
Suffix:
Gender:F
Credentials: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:PO BOX 510
Mailing Address - Street 2:
Mailing Address - City:AVON
Mailing Address - State:CO
Mailing Address - Zip Code:81620-0510
Mailing Address - Country:US
Mailing Address - Phone:303-913-3961
Mailing Address - Fax:
Practice Address - Street 1:274 BEARD CREEK RD
Practice Address - Street 2:I4 MORNINGSTAR TOWNHOMES
Practice Address - City:EDWARDS
Practice Address - State:CO
Practice Address - Zip Code:81632
Practice Address - Country:US
Practice Address - Phone:303-913-3961
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2422225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist