Provider Demographics
NPI:1447456322
Name:COUPE, KAREN RENEE (PT DPT)
Entity type:Individual
Prefix:MS
First Name:KAREN
Middle Name:RENEE
Last Name:COUPE
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 1:1701 NE 54TH ST
Mailing Address - Street 2:
Mailing Address - City:FT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33334-5838
Mailing Address - Country:US
Mailing Address - Phone:959-938-0935
Mailing Address - Fax:
Practice Address - Street 1:1500 NW 49TH ST
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33309-3700
Practice Address - Country:US
Practice Address - Phone:954-776-4456
Practice Address - Fax:954-776-5157
Is Sole Proprietor?:No
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT16522225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist