=====================================================
General NPI Number Information
=====================================================
NPI Number | 1992829873
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KAREN HOLTGREFE PT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/18/2007
-----------------------------------------------------
Last Update Date | 04/30/2010
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5701 DELHI RD
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45233-1669
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 513-244-3299
-----------------------------------------------------
Fax | 513-451-2547
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5528 COVE CT
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45238-4128
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225100000X
-----------------------------------------------------
Taxonomy Name | Physical Therapist
-----------------------------------------------------
License Number | 003327
-----------------------------------------------------
License Number State | OH
-----------------------------------------------------