Provider Demographics
NPI:1568478816
Name:HANK, KARA M (MOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KARA
Middle Name:M
Last Name:HANK
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:MS
Other - First Name:KARA
Other - Middle Name:M
Other - Last Name:STROMQUIST
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OTR/L
Mailing Address - Street 1:1504-13 AVE
Mailing Address - Street 2:
Mailing Address - City:MOLINE
Mailing Address - State:IL
Mailing Address - Zip Code:61265-3113
Mailing Address - Country:US
Mailing Address - Phone:309-762-9552
Mailing Address - Fax:309-762-9610
Practice Address - Street 1:1504-13 AVE
Practice Address - Street 2:
Practice Address - City:MOLINE
Practice Address - State:IL
Practice Address - Zip Code:61265-3119
Practice Address - Country:US
Practice Address - Phone:309-762-9552
Practice Address - Fax:309-762-9610
Is Sole Proprietor?:No
Enumeration Date:2006-07-31
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL056-007397225X00000X
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist