MEDICARE: MRS. KAREN J MOHRING PHYSICAL THERAPIST

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251P0200X	Pediatric Physical Therapist

General Provider Information

NPI Number	:	1023154127
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN J MOHRING PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	3116 S LEMON CT
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51106-4224
Country	:	US
Telephone Number	:	712-274-1660
Fax Number	:

Provider Business Practice Location Address
First Line	:	1520 MORNINGSIDE AVE
Second Line	:
City	:	SIOUX CITY
State	:	IA
Zip	:	51106-1716
Country	:	US
Telephone Number	:	712-222-6333
Fax Number	:	712-222-6115

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/29/2007
Last Update Date	:	07/08/2007

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