Provider Demographics
NPI:1417075151
Name:KARPEWICZ, CHARLES T II (PT)
Entity Type:Individual
Prefix:
First Name:CHARLES
Middle Name:T
Last Name:KARPEWICZ
Suffix:II
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5910 GRACE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21206-2712
Mailing Address - Country:US
Mailing Address - Phone:443-286-2239
Mailing Address - Fax:
Practice Address - Street 1:5005 SIGNAL BELL CT
Practice Address - Street 2:SUITE 205
Practice Address - City:CLARKSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21029-2606
Practice Address - Country:US
Practice Address - Phone:443-535-9810
Practice Address - Fax:443-535-8605
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20095225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist