Provider Demographics
NPI:1861255549
Name:KARL, CAREY ANNA (DPT)
Entity type:Individual
Prefix:
First Name:CAREY
Middle Name:ANNA
Last Name:KARL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:108 BROADKILL RD
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:DE
Mailing Address - Zip Code:19968-1008
Mailing Address - Country:US
Mailing Address - Phone:302-608-9008
Mailing Address - Fax:302-544-9204
Practice Address - Street 1:108 BROADKILL RD
Practice Address - Street 2:
Practice Address - City:MILTON
Practice Address - State:DE
Practice Address - Zip Code:19968-1008
Practice Address - Country:US
Practice Address - Phone:302-608-9008
Practice Address - Fax:302-544-9204
Is Sole Proprietor?:No
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0014825225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist