Provider Demographics
NPI:1598039935
Name:AITKEN-DOUYON, KAREN A (DPT)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:A
Last Name:AITKEN-DOUYON
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 MILDRED LN
Mailing Address - Street 2:
Mailing Address - City:FORDS
Mailing Address - State:NJ
Mailing Address - Zip Code:08863-1308
Mailing Address - Country:US
Mailing Address - Phone:732-225-9353
Mailing Address - Fax:732-225-9353
Practice Address - Street 1:200 NEDRA LN
Practice Address - Street 2:
Practice Address - City:STATEN ISLAND
Practice Address - State:NY
Practice Address - Zip Code:10312
Practice Address - Country:US
Practice Address - Phone:718-984-1197
Practice Address - Fax:718-984-2324
Is Sole Proprietor?:No
Enumeration Date:2012-03-02
Last Update Date:2012-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01168400225100000X
NY026934225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist