Provider Demographics
NPI:1457645947
Name:PLAINE, KARNA LOUISE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:KARNA
Middle Name:LOUISE
Last Name:PLAINE
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 1:4507 PATRIOT DR
Mailing Address - Street 2:
Mailing Address - City:BISMARCK
Mailing Address - State:ND
Mailing Address - Zip Code:58503-7868
Mailing Address - Country:US
Mailing Address - Phone:218-230-5039
Mailing Address - Fax:
Practice Address - Street 1:201 14TH ST NW
Practice Address - Street 2:MCO CARE CENTERS OFF COLLINS
Practice Address - City:MANDAN
Practice Address - State:ND
Practice Address - Zip Code:58554-2063
Practice Address - Country:US
Practice Address - Phone:701-663-4274
Practice Address - Fax:701-663-0359
Is Sole Proprietor?:No
Enumeration Date:2011-06-02
Last Update Date:2011-12-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1200225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist