Provider Demographics
NPI:1083824825
Name:PERELL, KAREN LEE (PHD, RKT)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LEE
Last Name:PERELL
Suffix:
Gender:F
Credentials:PHD, RKT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:5375 VIA ASTURIAS
Mailing Address - Street 2:
Mailing Address - City:YORBA LINDA
Mailing Address - State:CA
Mailing Address - Zip Code:92887-3121
Mailing Address - Country:US
Mailing Address - Phone:714-777-8101
Mailing Address - Fax:
Practice Address - Street 1:800 N STATE COLLEGE BLVD
Practice Address - Street 2:
Practice Address - City:FULLERTON
Practice Address - State:CA
Practice Address - Zip Code:92831-3547
Practice Address - Country:US
Practice Address - Phone:714-278-4384
Practice Address - Fax:714-278-5317
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes226300000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersKinesiotherapist