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Individual

KAREN CHRISTEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
2100 NW 100TH ST, CLIVE, IA 50325-5329
(515) 331-0986
(515) 331-0988
Mailing address
205 W WACKER DR, SUITE 1020, CHICAGO, IL 60606-1216
(312) 640-0329

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0665711
IA
01
070.016415
STATE LICENSE
IL
01
32071
BLUE CROSS BLUE SHIELD
IA
01
3999
STATE LICENSE
IA
01
5555
LICENSE#
WI
01
I19449
MEDICARE
IA
Enumeration date
08/29/2006
Last updated
04/21/2009
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