Provider Demographics
NPI:1992770481
Name:STEVENS, KAREN P (ATC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:P
Last Name:STEVENS
Suffix:
Gender:F
Credentials:ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2936 HARVEST GLEN CT
Mailing Address - Street 2:
Mailing Address - City:OAK HILL
Mailing Address - State:VA
Mailing Address - Zip Code:20171-1808
Mailing Address - Country:US
Mailing Address - Phone:703-390-9234
Mailing Address - Fax:
Practice Address - Street 1:2936 HARVEST GLEN CT
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:VA
Practice Address - Zip Code:20171-1808
Practice Address - Country:US
Practice Address - Phone:703-390-9234
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-02-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer