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NPI Code Detail

MEDICARE: KAREN VAVRIN LPT

MEDICARE:   KAREN  VAVRIN  LPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist1024099TX

General Provider Information

NPI Number : 1275864084
Entity Type Code : Individual
Provider Name (Legal Business Name) : KAREN VAVRIN LPT
Provider Business Mailing Address
First Line : 2225 E RANDOL MILL RD
Second Line : 101
City : ARLINGTON
State : TX
Zip : 76011-6315
Country : US
Telephone Number : 817-274-1200
Fax Number : 817-274-1299
Provider Business Practice Location Address
First Line : 2225 E RANDOL MILL RD
Second Line : 101
City : ARLINGTON
State : TX
Zip : 76011-6315
Country : US
Telephone Number : 817-274-1200
Fax Number : 817-274-1299
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/18/2010
Last Update Date : 01/18/2010

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Directions to “ KAREN VAVRIN LPT” Practice Location

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