Provider Demographics
NPI:1275721367
Name:DURNIAK, KAREN ELIZABETH (PT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:ELIZABETH
Last Name:DURNIAK
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 1:5765 VIRGINIA PARK DR
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE FORGE
Mailing Address - State:VA
Mailing Address - Zip Code:23140-3493
Mailing Address - Country:US
Mailing Address - Phone:804-557-3363
Mailing Address - Fax:
Practice Address - Street 1:10880 GENERAL PULLER HWY
Practice Address - Street 2:SUITE B
Practice Address - City:HARTFIELD
Practice Address - State:VA
Practice Address - Zip Code:23071-3140
Practice Address - Country:US
Practice Address - Phone:804-776-0000
Practice Address - Fax:804-776-0690
Is Sole Proprietor?:No
Enumeration Date:2007-10-15
Last Update Date:2007-10-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305003586225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist