Provider Demographics
NPI:1134319502
Name:SENGLAUB, KAREN SEARLS (PT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SEARLS
Last Name:SENGLAUB
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:E
Other - Last Name:SEARLS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:6766 CANTERBURY TRL
Mailing Address - Street 2:
Mailing Address - City:VICTOR
Mailing Address - State:NY
Mailing Address - Zip Code:14564-9380
Mailing Address - Country:US
Mailing Address - Phone:585-742-2120
Mailing Address - Fax:
Practice Address - Street 1:605 CULVER RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-7443
Practice Address - Country:US
Practice Address - Phone:585-288-1206
Practice Address - Fax:585-654-6053
Is Sole Proprietor?:No
Enumeration Date:2007-07-31
Last Update Date:2007-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY014866-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY1077Medicare UPIN