Provider Demographics
NPI:1285481028
Name:BARQUERO, KARLINE (PTA)
Entity type:Individual
Prefix:
First Name:KARLINE
Middle Name:
Last Name:BARQUERO
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3183 LILLIAN RD
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33406-7904
Mailing Address - Country:US
Mailing Address - Phone:561-371-3520
Mailing Address - Fax:
Practice Address - Street 1:2090 PALM BEACH LAKES BLVD STE 900
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6508
Practice Address - Country:US
Practice Address - Phone:561-335-5965
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-30
Last Update Date:2024-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPTA30487225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant