Provider Demographics
NPI:1528192952
Name:KARMEL-ROSS, KAREN (PT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:KARMEL-ROSS
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 1:5670 ELM HILL DR
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139
Mailing Address - Country:US
Mailing Address - Phone:440-349-5304
Mailing Address - Fax:440-460-1767
Practice Address - Street 1:25221 MILES RD, STE F
Practice Address - Street 2:
Practice Address - City:WARRENSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44128-5494
Practice Address - Country:US
Practice Address - Phone:216-514-1600
Practice Address - Fax:440-460-1767
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-15
Last Update Date:2012-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT038512251P0200X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics