Provider Demographics
NPI:1134518335
Name:MORRIS, KARA
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:MORRIS
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 1:2603 CURTIS AVE
Mailing Address - Street 2:APT. 2
Mailing Address - City:REDONDO BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90278-2243
Mailing Address - Country:US
Mailing Address - Phone:424-255-2016
Mailing Address - Fax:
Practice Address - Street 1:2603 CURTIS AVE
Practice Address - Street 2:APT. 2
Practice Address - City:REDONDO BEACH
Practice Address - State:CA
Practice Address - Zip Code:90278-2243
Practice Address - Country:US
Practice Address - Phone:424-255-2016
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-01-12
Last Update Date:2015-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA546225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist