MEDICARE: MRS. KAREN DREDGE DELL 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	5247	NC

General Provider Information

NPI Number	:	1679708184
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KAREN DREDGE DELL PT

Provider Business Mailing Address
First Line	:	102 LONGLEAF LN
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-3675
Country	:	US
Telephone Number	:	252-633-6422
Fax Number	:

Provider Business Practice Location Address
First Line	:	416 DRY MONIA RD
Second Line	:
City	:	NEW BERN
State	:	NC
Zip	:	28562-9709
Country	:	US
Telephone Number	:	252-671-2196
Fax Number	:

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

Provider Enumeration Date	:	05/28/2009
Last Update Date	:	05/28/2009

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