Healthcare Provider Details

I. General information

NPI: 1689630360
Provider Name (Legal Business Name): KAREN L CONNOR PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/22/2006
Last Update Date: 09/21/2024
Certification Date: 09/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24700 CENTER RIDGE RD STE 300
WESTLAKE OH
44145-5606
US

IV. Provider business mailing address

2210 WOODWARD AVE
LAKEWOOD OH
44107-5735
US

V. Phone/Fax

Practice location:
  • Phone: 216-200-6978
  • Fax:
Mailing address:
  • Phone: 216-200-6978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT011062
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number11062
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: