Provider Demographics
NPI:1699744896
Name:ROSS, KAREN LEE (DPT)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:LEE
Last Name:ROSS
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 1:5493 MARCH ST
Mailing Address - Street 2:
Mailing Address - City:ROBSTOWN
Mailing Address - State:TX
Mailing Address - Zip Code:78380-6034
Mailing Address - Country:US
Mailing Address - Phone:361-387-6114
Mailing Address - Fax:
Practice Address - Street 1:5493 MARCH ST
Practice Address - Street 2:SUITE B
Practice Address - City:ROBSTOWN
Practice Address - State:TX
Practice Address - Zip Code:78380-6034
Practice Address - Country:US
Practice Address - Phone:361-387-6114
Practice Address - Fax:361-387-0075
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1022416225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist