Provider Demographics
NPI:1477312254
Name:MATTHEWS, KARA M (OTR/L, MOT)
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:M
Last Name:MATTHEWS
Suffix:
Gender:F
Credentials:OTR/L, MOT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7229 CAMARGOWOODS DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45243-2207
Mailing Address - Country:US
Mailing Address - Phone:812-455-0401
Mailing Address - Fax:
Practice Address - Street 1:10979 REED HARTMAN HWY STE 237
Practice Address - Street 2:
Practice Address - City:BLUE ASH
Practice Address - State:OH
Practice Address - Zip Code:45242-2882
Practice Address - Country:US
Practice Address - Phone:812-455-0401
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT007691225XF0002X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XF0002XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistFeeding, Eating & Swallowing