Provider Demographics
NPI:1265918205
Name:ALBRO, KAREN LYNN (PT, DPT)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:LYNN
Last Name:ALBRO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 BONNEY TER
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-6302
Mailing Address - Country:US
Mailing Address - Phone:203-545-4209
Mailing Address - Fax:
Practice Address - Street 1:10 BONNEY TER
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-6302
Practice Address - Country:US
Practice Address - Phone:203-545-4209
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-12
Last Update Date:2018-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013017-1225100000X
CT005150225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
0OtherI DON'T HAVE ANY