Provider Demographics
NPI:1932234135
Name:MCCARTHY, KAREN L (ATC)
Entity Type:Individual
Prefix:MISS
First Name:KAREN
Middle Name:L
Last Name:MCCARTHY
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 WOODRIDGE DR
Mailing Address - Street 2:
Mailing Address - City:PALMYRA
Mailing Address - State:PA
Mailing Address - Zip Code:17078-9755
Mailing Address - Country:US
Mailing Address - Phone:717-838-8545
Mailing Address - Fax:
Practice Address - Street 1:170 WOODRIDGE DR
Practice Address - Street 2:
Practice Address - City:PALMYRA
Practice Address - State:PA
Practice Address - Zip Code:17078-9755
Practice Address - Country:US
Practice Address - Phone:717-838-8545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PART000277A2255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer