Provider Demographics
NPI:1558443135
Name:KIRSCHBAUM, KARA LEE (PT)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:LEE
Last Name:KIRSCHBAUM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3850 WYNDHAM RIDGE DR
Mailing Address - Street 2:APT 312
Mailing Address - City:STOW
Mailing Address - State:OH
Mailing Address - Zip Code:44224-6166
Mailing Address - Country:US
Mailing Address - Phone:330-650-6464
Mailing Address - Fax:330-650-2814
Practice Address - Street 1:5844 DARROW RD
Practice Address - Street 2:
Practice Address - City:HUDSON
Practice Address - State:OH
Practice Address - Zip Code:44236-3864
Practice Address - Country:US
Practice Address - Phone:330-650-6767
Practice Address - Fax:330-650-2814
Is Sole Proprietor?:No
Enumeration Date:2006-10-20
Last Update Date:2007-07-08
Deactivation Date:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist