Provider Demographics
NPI:1417104266
Name:CHEN, KARENE NICOLE (MSPT)
Entity Type:Individual
Prefix:
First Name:KARENE
Middle Name:NICOLE
Last Name:CHEN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9050 SW 56TH ST
Mailing Address - Street 2:
Mailing Address - City:COOPER CITY
Mailing Address - State:FL
Mailing Address - Zip Code:33328-5818
Mailing Address - Country:US
Mailing Address - Phone:954-257-0185
Mailing Address - Fax:
Practice Address - Street 1:9050 SW 56TH ST
Practice Address - Street 2:
Practice Address - City:COOPER CITY
Practice Address - State:FL
Practice Address - Zip Code:33328-5818
Practice Address - Country:US
Practice Address - Phone:954-257-0185
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-08-23
Last Update Date:2008-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT23985225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist