Provider Demographics
NPI:1285860692
Name:KARGE, VERA A (PT)
Entity type:Individual
Prefix:MRS
First Name:VERA
Middle Name:A
Last Name:KARGE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8355 LORETTO AVE
Mailing Address - Street 2:SUITE 102
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19152-1830
Mailing Address - Country:US
Mailing Address - Phone:215-742-7033
Mailing Address - Fax:215-742-7034
Practice Address - Street 1:8355 LORETTO AVE
Practice Address - Street 2:SUITE 102
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19152-1830
Practice Address - Country:US
Practice Address - Phone:215-742-7033
Practice Address - Fax:215-742-7034
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019839225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist