Provider Demographics
NPI:1215391743
Name:DORSEY, KARA LYNN (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:KARA
Middle Name:LYNN
Last Name:DORSEY
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:165 DIX DR APT 29
Mailing Address - Street 2:
Mailing Address - City:NORTH VERSAILLES
Mailing Address - State:PA
Mailing Address - Zip Code:15137-2536
Mailing Address - Country:US
Mailing Address - Phone:412-245-6790
Mailing Address - Fax:
Practice Address - Street 1:11325 PEMBROOKE SQ
Practice Address - Street 2:SUITE 115
Practice Address - City:WALDORF
Practice Address - State:MD
Practice Address - Zip Code:20603-4807
Practice Address - Country:US
Practice Address - Phone:866-767-1682
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-04-11
Last Update Date:2016-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305210028225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist