Provider Demographics
NPI:1710986138
Name:BELL, KAREN D (PT)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:D
Last Name:BELL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:301 LONGVIEW DR
Mailing Address - Street 2:PO BOX 2224
Mailing Address - City:SMITHFIELD
Mailing Address - State:NC
Mailing Address - Zip Code:27577-3016
Mailing Address - Country:US
Mailing Address - Phone:919-934-0779
Mailing Address - Fax:919-934-4335
Practice Address - Street 1:1519 W MARKET ST
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:NC
Practice Address - Zip Code:27577-3041
Practice Address - Country:US
Practice Address - Phone:919-934-0779
Practice Address - Fax:919-934-4335
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-07-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC892225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC2501390Medicare ID - Type UnspecifiedPHYSICAL THERAPIST