Provider Demographics
NPI:1528696143
Name:DURBIN, KAREN (DPT)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:
Last Name:DURBIN
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 1:7257 BRIDGE POINT PASS
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45248-1908
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:2395 KACHEMAK BAY DR
Practice Address - Street 2:
Practice Address - City:HOMER
Practice Address - State:AK
Practice Address - Zip Code:99603-8021
Practice Address - Country:US
Practice Address - Phone:907-235-3410
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-30
Last Update Date:2024-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1269990225100000X
KY006864225100000X
CA292673225100000X
NC17896225100000X
MO2015027164225100000X
IN05011903A225100000X
SC9074225100000X
LA10112R225100000X
3747P1801X
AK143805225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care Attendant