Provider Demographics
NPI:1831248301
Name:NORTHROP, KAREN KAY
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:KAY
Last Name:NORTHROP
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:367 CHRISTOPHER DR
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94131-1013
Mailing Address - Country:US
Mailing Address - Phone:415-566-3244
Mailing Address - Fax:415-661-3252
Practice Address - Street 1:367 CHRISTOPHER DR
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94131-1013
Practice Address - Country:US
Practice Address - Phone:415-566-3244
Practice Address - Fax:415-661-3252
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-10
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT8960225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA600728OtherBROWN & TOLAND #
CA00PT89600Medicare ID - Type UnspecifiedPROVIDER #
CA600728OtherBROWN & TOLAND #