Provider Demographics
NPI:1205994803
Name:GARTNER, KAREN GAIL (PT, PCS, ATP)
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:GAIL
Last Name:GARTNER
Suffix:
Gender:F
Credentials:PT, PCS, ATP
Other - Prefix:
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Mailing Address - Street 1:41 N STREET EXT
Mailing Address - Street 2:
Mailing Address - City:RUTLAND
Mailing Address - State:VT
Mailing Address - Zip Code:05701-2536
Mailing Address - Country:US
Mailing Address - Phone:802-775-7318
Mailing Address - Fax:
Practice Address - Street 1:7 ALBERT CREE DR
Practice Address - Street 2:KIDS ON THE MOVE AT RAVNAH
Practice Address - City:RUTLAND
Practice Address - State:VT
Practice Address - Zip Code:05701-4601
Practice Address - Country:US
Practice Address - Phone:802-770-1652
Practice Address - Fax:802-747-0021
Is Sole Proprietor?:No
Enumeration Date:2006-12-05
Last Update Date:2010-10-23
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
VT040-00008952251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics