Provider Demographics
NPI:1265857353
Name:GALVIN, KAREN (PT/MPT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:
Last Name:GALVIN
Suffix:
Gender:F
Credentials:PT/MPT
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:KILBY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT/MPT
Mailing Address - Street 1:60 CONNOLLY PARKWAY
Mailing Address - Street 2:BLDG.17A
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06514
Mailing Address - Country:US
Mailing Address - Phone:203-230-2815
Mailing Address - Fax:203-230-8502
Practice Address - Street 1:60 CONNOLLY PARKWAY BLDG. 17
Practice Address - Street 2:REACHOUT INC.
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06514
Practice Address - Country:US
Practice Address - Phone:203-230-2815
Practice Address - Fax:203-230-8502
Is Sole Proprietor?:No
Enumeration Date:2014-02-26
Last Update Date:2014-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT9506225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist