Provider Demographics
NPI:1760607238
Name:MILLERSON, KAREN B (DSCPT)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:B
Last Name:MILLERSON
Suffix:
Gender:F
Credentials:DSCPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:5350 JACOBS CREEK PL
Mailing Address - Street 2:
Mailing Address - City:HAYMARKET
Mailing Address - State:VA
Mailing Address - Zip Code:20169-6151
Mailing Address - Country:US
Mailing Address - Phone:703-753-3662
Mailing Address - Fax:
Practice Address - Street 1:340 E. SHIRLEY AVE
Practice Address - Street 2:BLDG B
Practice Address - City:WARRENTON
Practice Address - State:VA
Practice Address - Zip Code:20169
Practice Address - Country:US
Practice Address - Phone:540-422-7145
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-17
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA23050047242251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics