Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 15191 | CA |
N | 2251H1200X | Hand | 201211207 | CA |
NPI | 1841547015 |
---|---|
Provider Name | Mrs. Andrea Marie Karr |
First Address | Oxnard, CA 93036-0680 |
Second Address | Oxnard, CA 93036-0680 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/08/2012 |
Last Update Date | 30/04/2018 |