Individual
KAREN L CRILLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MAPT, DPT
Contact information
Practice address
17111 KENTON DR STE 206B, CORNELIUS, NC 28031-5650
(704) 892-8074
(704) 892-8075
Mailing address
17111 KENTON DR STE 206B, CORNELIUS, NC 28031-5650
(704) 892-8074
(704) 892-8075
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
P11495
NC
2251N0400X
Neurology Physical Therapist
P11495
NC
2251P0200X
Pediatric Physical Therapist
Primary
P11495
NC
Other
Enumeration date
02/16/2013
Last updated
05/24/2013
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