Provider Demographics
NPI:1679806897
Name:BUCHHOLZ, KAREN E (DPT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:E
Last Name:BUCHHOLZ
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:E
Other - Last Name:MORGAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:6330 FIVE MILE CENTRE PARK
Mailing Address - Street 2:SUITE 406
Mailing Address - City:FREDERICKSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22407-5516
Mailing Address - Country:US
Mailing Address - Phone:540-785-9770
Mailing Address - Fax:540-785-9772
Practice Address - Street 1:6330 FIVE MILE CENTRE PARK
Practice Address - Street 2:SUITE 406
Practice Address - City:FREDERICKSBURG
Practice Address - State:VA
Practice Address - Zip Code:22407-5516
Practice Address - Country:US
Practice Address - Phone:540-785-9770
Practice Address - Fax:540-785-9772
Is Sole Proprietor?:No
Enumeration Date:2009-09-08
Last Update Date:2009-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305205820225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2305205820OtherLICENSE NUMBER