Individual
KAREN POAGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1537
OR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
035779
—
OR
01
—
084171005
BCBS
OR
01
—
P00617748
RRMC
OR
Enumeration date
12/19/2005
Last updated
07/15/2014
Update your record
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