Provider Demographics
NPI:1346216660
Name:HARMON, KAREN SHALINI (PT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SHALINI
Last Name:HARMON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:KAREN
Other - Middle Name:SHALINI
Other - Last Name:RAJU
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:201 E ROUND GROVE RD
Mailing Address - Street 2:#1631
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75067
Mailing Address - Country:US
Mailing Address - Phone:214-287-7939
Mailing Address - Fax:
Practice Address - Street 1:100 W SOUTHLAKE BLVD
Practice Address - Street 2:#420
Practice Address - City:SOUTHLAKE
Practice Address - State:TX
Practice Address - Zip Code:76092
Practice Address - Country:US
Practice Address - Phone:817-442-8600
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1153530225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist