Individual
KAREN S DECKER
Active
Individual
KAREN S DECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
10078
NC
225100000X
Physical Therapist
Primary
2305212724
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1114191947
BCBSNC
NC
05
—
7212401
—
NC
Enumeration date
04/14/2008
Last updated
07/31/2019
Update your record
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