Individual
MS. KAREN SUE STORK
Active
Individual
MS. KAREN SUE STORK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RN, LMT, CLT
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN503089L
PA
225700000X
Massage Therapist
Primary
MSG001255
PA
Other
Enumeration date
03/17/2007
Last updated
06/07/2011
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