Provider Demographics
NPI:1619103660
Name:FLOWERS, KAREN SAMANTHA (LPTA)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:SAMANTHA
Last Name:FLOWERS
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 N SYMINGTON AVE
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2006
Mailing Address - Country:US
Mailing Address - Phone:410-456-2923
Mailing Address - Fax:
Practice Address - Street 1:15 N SYMINGTON AVE
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-2006
Practice Address - Country:US
Practice Address - Phone:410-456-2923
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-04
Last Update Date:2012-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA1143225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant