Basic Information
| Provider Information | |||||||||
| NPI: | 1497142814 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | POHL | ||||||||
| FirstName: | KAREN | ||||||||
| MiddleName: | JEAN | ||||||||
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| OtherLastName: | STANKUS | ||||||||
| OtherFirstName: | KAREN | ||||||||
| OtherMiddleName: | JEAN | ||||||||
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| OtherLastNameType: | 1 | ||||||||
| Mailing Information | |||||||||
| Address1: | 9324 N CITRUS SPRINGS BLVD | ||||||||
| Address2: | |||||||||
| City: | CITRUS SPRINGS | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344344033 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3522202828 | ||||||||
| FaxNumber: | |||||||||
| Practice Location | |||||||||
| Address1: | 8585 SW HIGHWAY 200 UNIT B | ||||||||
| Address2: | |||||||||
| City: | OCALA | ||||||||
| State: | FL | ||||||||
| PostalCode: | 344819644 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3526933378 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 04/23/2015 | ||||||||
| LastUpdateDate: | 04/23/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 27649 | FL | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
No ID Information.