Provider Demographics
NPI:1245618230
Name:DISBROW, KAREN L (PT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:L
Last Name:DISBROW
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4544 E CAMP LOWELL DR
Mailing Address - Street 2:SUITE 150
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85712-1316
Mailing Address - Country:US
Mailing Address - Phone:520-884-0001
Mailing Address - Fax:520-884-0199
Practice Address - Street 1:4544 E CAMP LOWELL DR
Practice Address - Street 2:SUITE 150
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85712-1316
Practice Address - Country:US
Practice Address - Phone:520-884-0001
Practice Address - Fax:520-884-0199
Is Sole Proprietor?:No
Enumeration Date:2015-05-11
Last Update Date:2015-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ0290225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist