Provider Demographics
NPI:1376942359
Name:KAKAR, SHAWN (OTR/L)
Entity Type:Individual
Prefix:MR
First Name:SHAWN
Middle Name:
Last Name:KAKAR
Suffix:
Gender:M
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 1:245 HAMPSTEAD ST
Mailing Address - Street 2:
Mailing Address - City:METHUEN
Mailing Address - State:MA
Mailing Address - Zip Code:01844-1235
Mailing Address - Country:US
Mailing Address - Phone:603-275-6951
Mailing Address - Fax:
Practice Address - Street 1:245 HAMPSTEAD ST
Practice Address - Street 2:
Practice Address - City:METHUEN
Practice Address - State:MA
Practice Address - Zip Code:01844-1235
Practice Address - Country:US
Practice Address - Phone:603-275-6951
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-15
Last Update Date:2014-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA11044225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist