Kara Ann Clark, OTR
Individual provider Active NPI Occupational Therapist · Prairie Du Chien, WI
NPI 1548617848 · NPPES record last updated Nov 22, 2019
Key facts
- NPI
- 1548617848
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 090394 (IA)
- Practice address
- 219 S State St
Prairie Du Chien, WI 53821-1822 - Phone
- (262) 408-9312
- NPI assigned
- May 17, 2016
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 090394 | IA | MD | Occupational Therapist |
| 5850-26 | WI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5850-26 | WI | |
| Occupational Therapist | 225X00000X | 090394 | IA | Yes |
Addresses
Primary practice location
219 S State St
Prairie Du Chien, WI 53821-1822
Mailing address
219 S State St
Prairie Du Chien, WI 53821-1822
Phone (262) 408-9312
Other providers in Prairie Du Chien, WI
- Walter R Boisvert
- Michael D Bouzek
- Claire Bowar
- Nanci A Cherry
- Gregory Clark
- Clinicare Corporation
- Peggy Ann Corlett
- Joshua Michael Coughlin
- County of Crawford
- County of Crawford
All providers in Prairie Du Chien, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.