Healthcare Provider Details

I. General information

NPI: 1891859146
Provider Name (Legal Business Name): KAREN VERDA PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/21/2006
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

137 WINCKLES ST
ELYRIA OH
44035-6151
US

IV. Provider business mailing address

38594 LIBERTY LN
GRAFTON OH
44044-1031
US

V. Phone/Fax

Practice location:
  • Phone: 440-366-5993
  • Fax: 440-366-5313
Mailing address:
  • Phone: 440-315-4901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT7402
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: