Individual
KARA TAKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4121 PENNSYLVANIA AVE, DUBUQUE, IA 52002-2628
(563) 583-4003
Mailing address
4121 PENNSYLVANIA AVE, DUBUQUE, IA 52002-2628
(563) 583-4003
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00737
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0665950
—
IA
Enumeration date
01/15/2009
Last updated
01/15/2009
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