Provider Demographics
NPI:1427226133
Name:TOM, KAREN A (PT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:A
Last Name:TOM
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 1:667 SHUNPIKE RD
Mailing Address - Street 2:STE 9B
Mailing Address - City:CHATHAM
Mailing Address - State:NJ
Mailing Address - Zip Code:07928-1574
Mailing Address - Country:US
Mailing Address - Phone:973-738-2400
Mailing Address - Fax:
Practice Address - Street 1:667 SHUNPIKE RD
Practice Address - Street 2:STE 9B
Practice Address - City:CHATHAM
Practice Address - State:NJ
Practice Address - Zip Code:07928-1574
Practice Address - Country:US
Practice Address - Phone:973-738-2400
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-15
Last Update Date:2018-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01249400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist