Provider Demographics
NPI:1922294404
Name:INDA, KARI CHRISTINE (PHD, OTR)
Entity Type:Individual
Prefix:DR
First Name:KARI
Middle Name:CHRISTINE
Last Name:INDA
Suffix:
Gender:F
Credentials:PHD, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:W144N10444 HERITAGE HILLS PKWY
Mailing Address - Street 2:
Mailing Address - City:GERMANTOWN
Mailing Address - State:WI
Mailing Address - Zip Code:53022-4374
Mailing Address - Country:US
Mailing Address - Phone:414-258-4810
Mailing Address - Fax:262-502-9149
Practice Address - Street 1:2900 N MENOMONEE RIVER PKWY
Practice Address - Street 2:MOUNT MARY COLLEGE - OT DEPARTMENT
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53222-4545
Practice Address - Country:US
Practice Address - Phone:414-258-4810
Practice Address - Fax:414-256-0194
Is Sole Proprietor?:No
Enumeration Date:2007-09-19
Last Update Date:2007-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI3590-026225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist