Provider Demographics
NPI:1891788444
Name:WOOD, KAREN ELAINE (DPT (MARCH 2006))
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:ELAINE
Last Name:WOOD
Suffix:
Gender:F
Credentials:DPT (MARCH 2006)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:48 PALM BLVD
Mailing Address - Street 2:
Mailing Address - City:MISSOURI CITY
Mailing Address - State:TX
Mailing Address - Zip Code:77459-4552
Mailing Address - Country:US
Mailing Address - Phone:281-835-0214
Mailing Address - Fax:
Practice Address - Street 1:4915 S MAIN ST
Practice Address - Street 2:SUITE 106
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-4601
Practice Address - Country:US
Practice Address - Phone:281-242-7466
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX6014800174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist