Provider Demographics
NPI:1205959467
Name:VANDERHOOK, KAREN
Entity type:Individual
Prefix:PROF
First Name:KAREN
Middle Name:
Last Name:VANDERHOOK
Suffix:
Gender:F
Credentials:
Other - Prefix:PROF
Other - First Name:KAREN
Other - Middle Name:
Other - Last Name:VANDERHOOK LMT,CLT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMT,CLT
Mailing Address - Street 1:32277 FALLING POINT RD
Mailing Address - Street 2:
Mailing Address - City:DAGSBORO
Mailing Address - State:DE
Mailing Address - Zip Code:19939-4068
Mailing Address - Country:US
Mailing Address - Phone:302-732-0911
Mailing Address - Fax:
Practice Address - Street 1:31507 OAK ORCHARD RD
Practice Address - Street 2:UNIT 14
Practice Address - City:MILLSBORO
Practice Address - State:DE
Practice Address - Zip Code:19966
Practice Address - Country:US
Practice Address - Phone:302-841-8933
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2008-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE2004203429225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist