Healthcare Provider Details
I. General information
NPI: 1306071030
Provider Name (Legal Business Name): KAREN KATZ P.T.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/26/2009
Last Update Date: 05/26/2009
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
NACHAL DOLEV #44 APT.2
RAMAT BEIT SHEMESH ISRAEL
99621
UM
IV. Provider business mailing address
NACHAL DOLEV #44 APT.2
RAMAT BEIT SHEMESH ISRAEL
99621
IL
V. Phone/Fax
- Phone: 01197229996389
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | 013328 |
| License Number State | NY |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: