Provider Demographics
NPI:1356676076
Name:REDDICK, KAREN LYNN (MPT)
Entity type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:LYNN
Last Name:REDDICK
Suffix:
Gender:F
Credentials:MPT
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Mailing Address - Street 1:218 FOUST ST STE C
Mailing Address - Street 2:
Mailing Address - City:ASHEBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27203-5476
Mailing Address - Country:US
Mailing Address - Phone:336-625-8233
Mailing Address - Fax:336-625-5511
Practice Address - Street 1:148 POINTE SOUTH DR
Practice Address - Street 2:
Practice Address - City:RANDLEMAN
Practice Address - State:NC
Practice Address - Zip Code:27317-9520
Practice Address - Country:US
Practice Address - Phone:336-799-4435
Practice Address - Fax:336-799-4057
Is Sole Proprietor?:No
Enumeration Date:2009-10-14
Last Update Date:2024-11-13
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Provider Licenses
StateLicense IDTaxonomies
NC10463225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC346512Medicare Oscar/Certification