Individual
KARREN S KO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
201 GATEWAY DR STE 300, BEAVER DAM, WI 53916-9176
(800) 974-4378
(630) 515-1536
Mailing address
24014 W RENWICK RD UNIT 206, PLAINFIELD, IL 60544-8711
(800) 974-4378
(630) 515-1536
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
9886-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
404020400
—
WI
Enumeration date
09/08/2009
Last updated
03/11/2024
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