Provider Demographics
NPI:1689986481
Name:TRAUGH, KAREN (DPT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:TRAUGH
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:TRAUGH
Other - Last Name:PERREIRA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:26437 LUCKY STONE RD UNIT 202
Mailing Address - Street 2:
Mailing Address - City:BONITA SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:34135-5077
Mailing Address - Country:US
Mailing Address - Phone:614-813-3720
Mailing Address - Fax:614-618-3869
Practice Address - Street 1:26437 LUCKY STONE RD UNIT 202
Practice Address - Street 2:
Practice Address - City:BONITA SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:34135-5077
Practice Address - Country:US
Practice Address - Phone:614-813-3720
Practice Address - Fax:614-618-3869
Is Sole Proprietor?:No
Enumeration Date:2010-07-08
Last Update Date:2021-10-31
Deactivation Date:2021-08-30
Deactivation Code:
Reactivation Date:2021-10-28
Provider Licenses
StateLicense IDTaxonomies
FLPT35473225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist