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NPI Code Detail

MEDICARE: HEATHER L. KARN

MEDICARE:   HEATHER L. KARN
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
1222Q00000XDevelopmental Therapist

General Provider Information

NPI Number : 1063711034
Entity Type Code : Individual
Provider Name (Legal Business Name) : HEATHER L. KARN
Provider Business Mailing Address
First Line : 1607 SW 13TH ST
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-2318
Country : US
Telephone Number : 239-247-4004
Fax Number :
Provider Business Practice Location Address
First Line : 1607 SW 13TH ST
Second Line :
City : CAPE CORAL
State : FL
Zip : 33991-2318
Country : US
Telephone Number : 239-247-4004
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/16/2011
Last Update Date : 03/16/2011

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Directions to “ HEATHER L. KARN ” Practice Location

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