Provider Demographics
NPI:1336390483
Name:GRETH, KARLA JANE (PT)
Entity Type:Individual
Prefix:
First Name:KARLA
Middle Name:JANE
Last Name:GRETH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:7 FOREST GLEN DR
Mailing Address - Street 2:
Mailing Address - City:POTTSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:19464-1132
Mailing Address - Country:US
Mailing Address - Phone:610-631-9149
Mailing Address - Fax:866-868-8854
Practice Address - Street 1:1403 SHIRLEY LN
Practice Address - Street 2:
Practice Address - City:PERKASIE
Practice Address - State:PA
Practice Address - Zip Code:18944-2868
Practice Address - Country:US
Practice Address - Phone:888-558-0300
Practice Address - Fax:215-453-2076
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-07
Last Update Date:2008-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT004006E225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist