Individual
KARYN LEIGH PACK
Active
Individual
KARYN LEIGH PACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT/L
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
03584
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
O3584
OT PT ATC BOARD
OH
Enumeration date
10/26/2005
Last updated
02/27/2017
Update your record
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