Provider Demographics
NPI:1114236015
Name:VARGO, KARA (MPT)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:
Last Name:VARGO
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:MS
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:PAULUKONIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MPT
Mailing Address - Street 1:10091 BRISTOL CT
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-9503
Mailing Address - Country:US
Mailing Address - Phone:412-551-7233
Mailing Address - Fax:
Practice Address - Street 1:10091 BRISTOL CT
Practice Address - Street 2:
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090-9503
Practice Address - Country:US
Practice Address - Phone:412-551-7233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-27
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT016005225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist