Doctor Name: | KARAN BOBBY JOHAR |
NPI Number: | 1003118977 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T |
License Number: | |
Business Practice Address: | 3800 Shamrock Dr Charlotte, NC - 282153220 |
Business Phone Number: | 7045327000 |
Business Fax Number: | |
Mailing Address: | 2514 Cranbrook Ln, Apt 2 CHARLOTTE |
State: | NC |
Postal Code: | 282072042 |
Phone Number: | 7169074513 |
Fax Number: | |
NPI Enumeration Date: | 11/29/2010 |
NPI Last Update Date: | 11/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251G0304X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Geriatrics |
Taxonomy Definition: |