Provider Demographics
NPI:1528238367
Name:LOWE, KAREN MARIE
Entity type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:MARIE
Last Name:LOWE
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:MARIE
Other - Last Name:MORRISON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2728 WAR HILL PARK RD
Mailing Address - Street 2:
Mailing Address - City:DAWSONVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30534-7454
Mailing Address - Country:US
Mailing Address - Phone:706-216-2275
Mailing Address - Fax:
Practice Address - Street 1:2728 WAR HILL PARK RD
Practice Address - Street 2:
Practice Address - City:DAWSONVILLE
Practice Address - State:GA
Practice Address - Zip Code:30534-7454
Practice Address - Country:US
Practice Address - Phone:706-216-2275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-07
Last Update Date:2008-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA3088225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist