Provider Demographics
NPI:1316028368
Name:DUBROW, KAREN R (DMT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:R
Last Name:DUBROW
Suffix:
Gender:F
Credentials:DMT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:811 E PLANO PKWAY
Mailing Address - Street 2:SUITE 108
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75074
Mailing Address - Country:US
Mailing Address - Phone:972-398-0789
Mailing Address - Fax:972-398-0803
Practice Address - Street 1:811 E PLANO PKWAY
Practice Address - Street 2:SUITE 108
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75074
Practice Address - Country:US
Practice Address - Phone:972-398-0789
Practice Address - Fax:972-398-0803
Is Sole Proprietor?:No
Enumeration Date:2006-10-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX150797225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX659021OtherBCBS