Karen A Brasesco, P.T.
Individual provider Active NPI Physical Therapist · Sonora, CA
NPI 1376764993 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1376764993
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT13166 (CA)
- Practice address
- 181 So. Fairview Lane
Sonora, CA 95370 - Phone
- (209) 532-6463
- Fax
- (209) 532-3420
- NPI assigned
- May 1, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT13166 | CA | Yes |
Addresses
Primary practice location
181 So. Fairview Lane
Sonora, CA 95370
Mailing address
P.O. Box 1639
Twain Harte, CA 95383-1639
Phone (209) 627-5136
Other names
- Karen A Deramo
Other providers in Sonora, CA
- William Stuart Bowie
- James Ivy Boyd III
- Suzanne Lee Boynton
- Chrystal Anastasia Lucretia Bradley
- Emily Branscum
- Brett C Lockman DO Medical Corporation
- Barbara Laura Briner
- Dan Briseno
- Leslie M Brocchini
- Lawrence Eugene Brunel
All providers in Sonora, CA · Physical Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.