Individual
KAREEN B.N. NEWVILLAMOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
18749 N FREDERICK AVE, STE I & J, GAITHERSBURG, MD 20879-3165
(301) 916-8540
(301) 916-8476
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2222
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24152
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8825 - 0014
CAREFIRST
MD
Enumeration date
09/17/2012
Last updated
06/07/2018
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