Individual
MRS. KAREN LYNNE TENUTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BS,PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
3540-024
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40190200
—
WI
01
—
P00338565
RAILROAD MEDICARE NUMBER
WI
Enumeration date
09/06/2006
Last updated
09/25/2014
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