Provider Demographics
NPI:1952545964
Name:ROLAND, KAREN KNOP (DPT)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:KNOP
Last Name:ROLAND
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 1:1910 ARLINGTON BLVD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTESVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:22903-1594
Mailing Address - Country:US
Mailing Address - Phone:434-984-0303
Mailing Address - Fax:434-984-0330
Practice Address - Street 1:1910 ARLINGTON BLVD
Practice Address - Street 2:
Practice Address - City:CHARLOTTESVILLE
Practice Address - State:VA
Practice Address - Zip Code:22903-1594
Practice Address - Country:US
Practice Address - Phone:434-984-0303
Practice Address - Fax:434-984-0330
Is Sole Proprietor?:No
Enumeration Date:2009-04-22
Last Update Date:2011-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305005408225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist