Provider Demographics
NPI:1477710846
Name:COLE, KAREN HOGAN (PT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:HOGAN
Last Name:COLE
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 1:9 TIMBERWOOD CT
Mailing Address - Street 2:
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21030-1944
Mailing Address - Country:US
Mailing Address - Phone:410-746-3682
Mailing Address - Fax:410-329-1797
Practice Address - Street 1:9 TIMBERWOOD CT
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21030-1944
Practice Address - Country:US
Practice Address - Phone:410-746-3682
Practice Address - Fax:410-329-1797
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-21
Last Update Date:2008-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD154752251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics