Provider Demographics
NPI:1992771612
Name:HOBART, KARLA (PT, DPT, OCS)
Entity type:Individual
Prefix:MISS
First Name:KARLA
Middle Name:
Last Name:HOBART
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3304 W COMMERCIAL CT
Mailing Address - Street 2:
Mailing Address - City:BROKEN ARROW
Mailing Address - State:OK
Mailing Address - Zip Code:74012-2735
Mailing Address - Country:US
Mailing Address - Phone:918-252-0513
Mailing Address - Fax:
Practice Address - Street 1:1621 S EUCALYPTUS AVE
Practice Address - Street 2:
Practice Address - City:BROKEN ARROW
Practice Address - State:OK
Practice Address - Zip Code:74012-5940
Practice Address - Country:US
Practice Address - Phone:918-252-0513
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-02-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKOK27722251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic