Provider Demographics
NPI:1386320596
Name:BURROW, KARA (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:KARA
Middle Name:
Last Name:BURROW
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:
Other - Last Name:MULLEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:PO BOX 78
Mailing Address - Street 2:
Mailing Address - City:MORTONS GAP
Mailing Address - State:KY
Mailing Address - Zip Code:42440-0078
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:150 CORNWALL DR
Practice Address - Street 2:
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-8781
Practice Address - Country:US
Practice Address - Phone:270-825-0166
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-22
Last Update Date:2023-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY165363224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant