Provider Demographics
NPI:1245508936
Name:BROWN-CORNISH, KAREN PATRICE (PT)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:PATRICE
Last Name:BROWN-CORNISH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:1700 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 214
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1416
Mailing Address - Country:US
Mailing Address - Phone:410-356-4779
Mailing Address - Fax:410-484-3999
Practice Address - Street 1:1700 REISTERSTOWN RD
Practice Address - Street 2:SUITE 214
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-1416
Practice Address - Country:US
Practice Address - Phone:410-356-4779
Practice Address - Fax:410-484-3999
Is Sole Proprietor?:Yes
Enumeration Date:2011-12-08
Last Update Date:2013-07-09
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD17143225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist