Healthcare Provider Details

I. General information

NPI: 1922517028
Provider Name (Legal Business Name): KAREN MARGARET KARWOWSKI MSPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2017
Last Update Date: 09/21/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1901 CHARLES STREET CRESTVIEW ELEMENTARY SCHOOL
HENRICO VA
23226
US

IV. Provider business mailing address

3820 NINE MILE ROAD HENRICO COUNTY PUBLIC SCHOOLS - EXCEPTIONAL ED.
HENRICO VA
23223-0420
US

V. Phone/Fax

Practice location:
  • Phone: 804-673-3775
  • Fax: 804-673-3742
Mailing address:
  • Phone: 804-652-3717
  • Fax: 804-652-3856

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305005766
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: