Provider Demographics
NPI:1548715907
Name:DOBBS, KARA (DPT)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:DOBBS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:JUNGBLUT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:4301 MIDTOWN SQ
Mailing Address - Street 2:APR. 3021
Mailing Address - City:CAMP SPRINGS
Mailing Address - State:MD
Mailing Address - Zip Code:20746-4418
Mailing Address - Country:US
Mailing Address - Phone:563-940-5260
Mailing Address - Fax:
Practice Address - Street 1:7905 MALCOLM RD
Practice Address - Street 2:#201
Practice Address - City:CLINTON
Practice Address - State:MD
Practice Address - Zip Code:20735-1734
Practice Address - Country:US
Practice Address - Phone:301-856-0050
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-08-15
Last Update Date:2016-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23336225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist