Provider Demographics
NPI:1407950843
Name:DANISH, KAREN THAYER (PT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:THAYER
Last Name:DANISH
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 1:3201 HIGHFIELD DRIVE
Mailing Address - Street 2:CORE PHYSICAL THERAPY SUITE G
Mailing Address - City:BETHLEHEM
Mailing Address - State:PA
Mailing Address - Zip Code:18020
Mailing Address - Country:US
Mailing Address - Phone:610-882-9611
Mailing Address - Fax:610-882-2717
Practice Address - Street 1:3201 HIGHFIELD DR
Practice Address - Street 2:CORE PHYSICAL THERAPY SUITE G
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18020-1113
Practice Address - Country:US
Practice Address - Phone:610-882-9611
Practice Address - Fax:610-882-2717
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT001087E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1939302OtherCAPITOL BLUE CROSS
PADA577570OtherHIGHMARK BLUE SHIELD
PA038995M9XMedicare ID - Type UnspecifiedMEDICARE