Provider Demographics
NPI:1275543050
Name:KLAREN, MAUREEN (PT)
Entity Type:Individual
Prefix:MRS
First Name:MAUREEN
Middle Name:
Last Name:KLAREN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:534 N ELM ST
Mailing Address - Street 2:DENTON SPORTS AND PHYSICAL THERAPY CENTER
Mailing Address - City:DENTON
Mailing Address - State:TX
Mailing Address - Zip Code:76201-4114
Mailing Address - Country:US
Mailing Address - Phone:940-566-5714
Mailing Address - Fax:940-381-0157
Practice Address - Street 1:534 N ELM ST
Practice Address - Street 2:DENTON SPORTS AND PHYSICAL THERAPY CENTER
Practice Address - City:DENTON
Practice Address - State:TX
Practice Address - Zip Code:76201-4114
Practice Address - Country:US
Practice Address - Phone:940-566-5714
Practice Address - Fax:940-381-0157
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2015-09-30
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPT 13439225100000X
CA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist