Provider Demographics
NPI:1235464116
Name:SCHRENK, KARA ELISABETH (OTR/L)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:ELISABETH
Last Name:SCHRENK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1008 HICKORY PT
Mailing Address - Street 2:
Mailing Address - City:COLLINSVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62234-5276
Mailing Address - Country:US
Mailing Address - Phone:618-791-7761
Mailing Address - Fax:
Practice Address - Street 1:5101 MCREE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63110-3147
Practice Address - Country:US
Practice Address - Phone:314-776-6130
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2009-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009022201225X00000X
IL056.008782225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist