Healthcare Provider Details

I. General information

NPI: 1336257104
Provider Name (Legal Business Name): KAREN JUNE PHILHOWER PT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2920 UNIVERSITY PKWY
SARASOTA FL
34243-2412
US

IV. Provider business mailing address

2920 UNIVERSITY PKWY
SARASOTA FL
34243-2412
US

V. Phone/Fax

Practice location:
  • Phone: 941-351-2555
  • Fax: 941-359-8657
Mailing address:
  • Phone: 941-351-2555
  • Fax: 941-359-8657

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT15223
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: