Provider Demographics
NPI:1811265804
Name:OCHOA, KAREN (DPT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:OCHOA
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1807 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-7502
Mailing Address - Country:US
Mailing Address - Phone:805-377-0922
Mailing Address - Fax:
Practice Address - Street 1:2800 WILLOW GROVE RD
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66502-2096
Practice Address - Country:US
Practice Address - Phone:785-539-7671
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-06
Last Update Date:2020-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01427600225100000X
KS11-05499225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ40QA01427600OtherNONE