Provider Demographics
NPI:1629135413
Name:ALLEN, KARLENE M (DPTATC)
Entity Type:Individual
Prefix:
First Name:KARLENE
Middle Name:M
Last Name:ALLEN
Suffix:
Gender:F
Credentials:DPTATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1339 FREEPORT RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15238-3126
Mailing Address - Country:US
Mailing Address - Phone:412-967-9229
Mailing Address - Fax:412-967-1991
Practice Address - Street 1:1339 FREEPORT RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238-3126
Practice Address - Country:US
Practice Address - Phone:412-967-9229
Practice Address - Fax:412-967-1991
Is Sole Proprietor?:No
Enumeration Date:2007-01-02
Last Update Date:2009-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018157225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA396632Medicare ID - Type Unspecified