Provider Demographics
NPI:1346418134
Name:STROCHER, KAREN LYNN (PTA)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LYNN
Last Name:STROCHER
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:934 N 1500 EAST RD
Mailing Address - Street 2:
Mailing Address - City:OWANECO
Mailing Address - State:IL
Mailing Address - Zip Code:62555-5572
Mailing Address - Country:US
Mailing Address - Phone:217-879-2702
Mailing Address - Fax:
Practice Address - Street 1:325 N. ST.PAUL ST.
Practice Address - Street 2:SUITE 4200
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75201
Practice Address - Country:US
Practice Address - Phone:866-953-0011
Practice Address - Fax:866-953-0012
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-14
Last Update Date:2008-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant