Provider Demographics
NPI:1528043817
Name:HOLMES, KAREN EILEEN (LPT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:EILEEN
Last Name:HOLMES
Suffix:
Gender:F
Credentials:LPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:102 POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:BELMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28012-3839
Mailing Address - Country:US
Mailing Address - Phone:704-460-7693
Mailing Address - Fax:
Practice Address - Street 1:102 POPLAR ST
Practice Address - Street 2:
Practice Address - City:BELMONT
Practice Address - State:NC
Practice Address - Zip Code:28012-3839
Practice Address - Country:US
Practice Address - Phone:704-460-7693
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2178225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist