Provider Demographics
NPI:1508904251
Name:FLEISCHMANN, KAREN F (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:F
Last Name:FLEISCHMANN
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:960 N CENTRAL AVE
Mailing Address - Street 2:
Mailing Address - City:N MASSAPEQUA
Mailing Address - State:NY
Mailing Address - Zip Code:11758-2511
Mailing Address - Country:US
Mailing Address - Phone:516-799-8913
Mailing Address - Fax:
Practice Address - Street 1:960 N CENTRAL AVE
Practice Address - Street 2:
Practice Address - City:MASSAPEQUA
Practice Address - State:NY
Practice Address - Zip Code:11758-2511
Practice Address - Country:US
Practice Address - Phone:516-799-8913
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2016-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004581-1225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant