Provider Demographics
NPI:1790741684
Name:MAYEW, KAREN M (MPT)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:MAYEW
Suffix:
Gender:F
Credentials:MPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:207 STADIUM ST
Mailing Address - Street 2:GATEWAY NORTH CENTER
Mailing Address - City:SMYRNA
Mailing Address - State:DE
Mailing Address - Zip Code:19977-2899
Mailing Address - Country:US
Mailing Address - Phone:302-659-0173
Mailing Address - Fax:302-659-0424
Practice Address - Street 1:207 STADIUM ST
Practice Address - Street 2:GATEWAY NORTH CENTER
Practice Address - City:SMYRNA
Practice Address - State:DE
Practice Address - Zip Code:19977-2899
Practice Address - Country:US
Practice Address - Phone:302-659-0173
Practice Address - Fax:302-659-0424
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0001308225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE013584S11Medicare ID - Type Unspecified