Individual
MRS. KAREN RENEE ERLACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
353 JONESTOWN RD, #311, WINSTON SALEM, NC 27104-4620
(336) 403-1990
Mailing address
353 JONESTOWN RD, #311, WINSTON SALEM, NC 27104-4620
(336) 403-1990
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4782
NC
224Z00000X
Occupational Therapy Assistant
991294
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4782
PROF LICENSE
NC
01
—
991294
PROF LICENSE
OR
Enumeration date
04/19/2007
Last updated
07/08/2007
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