Provider Demographics
NPI:1255699575
Name:SIMONS, KAREN (PTA)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:SIMONS
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:6060 N CENTRAL EXPY
Mailing Address - Street 2:SUITE 460
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-5209
Mailing Address - Country:US
Mailing Address - Phone:972-479-5369
Mailing Address - Fax:888-215-2994
Practice Address - Street 1:41 NEWPORT AVE
Practice Address - Street 2:
Practice Address - City:CHRISTIANA
Practice Address - State:PA
Practice Address - Zip Code:17509-1305
Practice Address - Country:US
Practice Address - Phone:877-293-6287
Practice Address - Fax:888-215-2994
Is Sole Proprietor?:No
Enumeration Date:2012-04-24
Last Update Date:2012-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATEI003166225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant