Provider Demographics
NPI:1568655629
Name:GABLEMAN, KAREN LEE (PTA PHYSICAL THERAPI)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:LEE
Last Name:GABLEMAN
Suffix:
Gender:F
Credentials:PTA PHYSICAL THERAPI
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:LEE
Other - Last Name:ORCHOLSKI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5270 S BRENNAN DRIVE
Mailing Address - Street 2:
Mailing Address - City:NEW BERLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53146
Mailing Address - Country:US
Mailing Address - Phone:262-679-4918
Mailing Address - Fax:
Practice Address - Street 1:18740 W BLUEMOUND ROAD
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:WI
Practice Address - Zip Code:53045
Practice Address - Country:US
Practice Address - Phone:262-782-0230
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-22
Last Update Date:2007-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI668019225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant