Healthcare Provider Details

I. General information

NPI: 1548459258
Provider Name (Legal Business Name): KAREN J SPARROW PT,PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/18/2007
Last Update Date: 05/28/2026
Certification Date: 05/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9962 BROOK RD
GLEN ALLEN VA
23059-6501
US

IV. Provider business mailing address

9962 BROOK RD
GLEN ALLEN VA
23059-6501
US

V. Phone/Fax

Practice location:
  • Phone: 804-420-8362
  • Fax:
Mailing address:
  • Phone: 804-420-8362
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305004948
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: