Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251G0304X | Physical Therapist - Geriatrics | 10405 | MN |
NPI | 1194270850 |
---|---|
Provider Name | Mrs. Courtney A Karalus |
First Address | Minnetonka, MN 55305-1511 |
Second Address | Columbia Heights, MN 55421-4106 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/08/2016 |
Last Update Date | 05/02/2018 |