Provider Demographics
NPI:1205089364
Name:ALLEN, KARA (OTR/L)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:ALLEN
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:70 BARKER ST APT 707
Mailing Address - Street 2:
Mailing Address - City:MOUNT KISCO
Mailing Address - State:NY
Mailing Address - Zip Code:10549-1737
Mailing Address - Country:US
Mailing Address - Phone:914-864-0315
Mailing Address - Fax:914-864-0315
Practice Address - Street 1:70 BARKER ST APT 707
Practice Address - Street 2:
Practice Address - City:MOUNT KISCO
Practice Address - State:NY
Practice Address - Zip Code:10549-1737
Practice Address - Country:US
Practice Address - Phone:914-864-0315
Practice Address - Fax:914-864-0315
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-02
Last Update Date:2010-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY008932-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics