MEDICARE: KAREN R. HARPER 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
1	225100000X	Physical Therapist	107191	MO
2	225100000X	Physical Therapist		IL

General Provider Information

NPI Number	:	1326173410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAREN R. HARPER PT

Provider Business Mailing Address
First Line	:	3701 E LAKE CTR
Second Line	:	SUITE 1
City	:	QUINCY
State	:	IL
Zip	:	62305-5842
Country	:	US
Telephone Number	:	217-224-3935
Fax Number	:

Provider Business Practice Location Address
First Line	:	3701 E LAKE CTR
Second Line	:	SUITE 1
City	:	QUINCY
State	:	IL
Zip	:	62305-5842
Country	:	US
Telephone Number	:	217-224-3935
Fax Number	:

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

Provider Enumeration Date	:	02/22/2007
Last Update Date	:	03/11/2008

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Directions to “ KAREN R. HARPER PT” Practice Location

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