Provider Demographics
NPI:1710290267
Name:ALBAUGH, KAREN WIENTJES (PT, DPT, MPH, CWS)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:WIENTJES
Last Name:ALBAUGH
Suffix:
Gender:F
Credentials:PT, DPT, MPH, CWS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:34 BALMORAL DR
Mailing Address - Street 2:
Mailing Address - City:CHADDS FORD
Mailing Address - State:PA
Mailing Address - Zip Code:19317-9287
Mailing Address - Country:US
Mailing Address - Phone:610-513-6588
Mailing Address - Fax:610-344-9728
Practice Address - Street 1:34 BALMORAL DR
Practice Address - Street 2:
Practice Address - City:CHADDS FORD
Practice Address - State:PA
Practice Address - Zip Code:19317-9287
Practice Address - Country:US
Practice Address - Phone:610-513-6588
Practice Address - Fax:610-344-9728
Is Sole Proprietor?:No
Enumeration Date:2010-07-26
Last Update Date:2010-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT008560L2251E1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251E1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistElectrophysiology, Clinical