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NPI Code Detail

MEDICARE: MRS. GINA KARR PT

MEDICARE: MRS. GINA KARR PT
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
1225100000XPhysical Therapist1113983TX

General Provider Information

NPI Number : 1316920200
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. GINA KARR PT
Provider Business Mailing Address
First Line : 3001 S JACKSON ST
Second Line :
City : SAN ANGELO
State : TX
Zip : 76904-5129
Country : US
Telephone Number : 325-223-6393
Fax Number :
Provider Business Practice Location Address
First Line : 3001 S JACKSON ST
Second Line :
City : SAN ANGELO
State : TX
Zip : 76904-5129
Country : US
Telephone Number : 325-223-6393
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/23/2005
Last Update Date : 12/14/2011

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