Provider Demographics
NPI:1659913374
Name:SANZO, KAREN (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:SANZO
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6434 E MOCKINGBIRD LN STE 211
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75214-7025
Mailing Address - Country:US
Mailing Address - Phone:214-674-1060
Mailing Address - Fax:
Practice Address - Street 1:6434 E MOCKINGBIRD LN STE 211
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75214-7025
Practice Address - Country:US
Practice Address - Phone:214-674-1060
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-10-14
Last Update Date:2019-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1040467225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist