Individual
KAREN KAY FETTY AL KHALEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPIST
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
914552
OR
225100000X
Physical Therapist
PT00002456
WA
225X00000X
Occupational Therapist
Primary
914552
OR
Other
Enumeration date
01/12/2007
Last updated
02/22/2023
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