Provider Demographics
NPI:1386840155
Name:DENDRINOS, KARA ELIZABETH (OTR)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:ELIZABETH
Last Name:DENDRINOS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 WOODEWIND DR
Mailing Address - Street 2:
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-4001
Mailing Address - Country:US
Mailing Address - Phone:630-717-5805
Mailing Address - Fax:630-717-5805
Practice Address - Street 1:707 WOODEWIND DR
Practice Address - Street 2:
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-4001
Practice Address - Country:US
Practice Address - Phone:630-717-5805
Practice Address - Fax:630-717-5805
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-26
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics