Individual
KAREN GLASOE MOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
RPT
Contact information
Practice address
2200 DEFENSE HWY, SUITE 200, CROFTON, MD 21114-2926
(410) 721-9000
(410) 721-8185
Mailing address
2200 DEFENSE HWY, SUITE 200, CROFTON, MD 21114-2926
(410) 721-9000
(410) 721-8185
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16116
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
229967
MDIPA/OC/MAMSI/APPO
MD
01
—
4650653
AETNA PPO
MD
01
—
529951
AETNA HMO
MD
01
—
544077-01
CAREFIRST BC/BS
MD
01
—
KY69CR
CAREFIRST BC/BS
MD
01
—
R9260003
CAREFIRST BC/BS FEP
MD
Enumeration date
08/30/2006
Last updated
07/08/2007
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