Provider Demographics
NPI:1821401860
Name:KARPOVICH, CHRISTIN (LAT,ATC)
Entity Type:Individual
Prefix:
First Name:CHRISTIN
Middle Name:
Last Name:KARPOVICH
Suffix:
Gender:F
Credentials:LAT,ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8600 MCDONOGH RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1009
Mailing Address - Country:US
Mailing Address - Phone:443-544-7148
Mailing Address - Fax:
Practice Address - Street 1:8600 MCDONOGH RD
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-1009
Practice Address - Country:US
Practice Address - Phone:443-544-7148
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-07
Last Update Date:2014-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDA000112255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer