Provider Demographics
NPI:1730205170
Name:LYMAN, KAREN G (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:KAREN
Middle Name:G
Last Name:LYMAN
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 FAWN DR
Mailing Address - Street 2:
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-1916
Mailing Address - Country:US
Mailing Address - Phone:973-535-9074
Mailing Address - Fax:973-994-1033
Practice Address - Street 1:22 FAWN DR
Practice Address - Street 2:
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-1916
Practice Address - Country:US
Practice Address - Phone:973-535-9074
Practice Address - Fax:973-994-1033
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00166400225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist