Provider Demographics
NPI:1205974003
Name:CURTIS, CARA L (OTR)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:L
Last Name:CURTIS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7013 FOREST RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:SCHERERVILLE
Mailing Address - State:IN
Mailing Address - Zip Code:46375-4460
Mailing Address - Country:US
Mailing Address - Phone:708-704-2110
Mailing Address - Fax:219-769-7693
Practice Address - Street 1:7013 FOREST RIDGE DR
Practice Address - Street 2:
Practice Address - City:SCHERERVILLE
Practice Address - State:IN
Practice Address - Zip Code:46375-4460
Practice Address - Country:US
Practice Address - Phone:708-704-2110
Practice Address - Fax:219-769-7693
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL0090001160OtherBCBS PROVIDER #