Provider Demographics
NPI:1790445989
Name:NEWSWANGER, KARA MARIE
Entity Type:Individual
Prefix:
First Name:KARA
Middle Name:MARIE
Last Name:NEWSWANGER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:610 LEHIGH RD APT U4
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-4936
Mailing Address - Country:US
Mailing Address - Phone:717-725-3339
Mailing Address - Fax:
Practice Address - Street 1:610 LEHIGH RD APT U4
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-4936
Practice Address - Country:US
Practice Address - Phone:717-725-3339
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-29
Last Update Date:2022-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEU1-0012336225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist