Provider Demographics
NPI:1386959641
Name:INFANTE, KARA LYNN (PT)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:LYNN
Last Name:INFANTE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KARA
Other - Middle Name:LYNN
Other - Last Name:HARNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:11245 DOUGLAS AVE
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-6942
Mailing Address - Country:US
Mailing Address - Phone:847-494-6370
Mailing Address - Fax:
Practice Address - Street 1:270 W YORK ST
Practice Address - Street 2:UNIT 3711
Practice Address - City:NORFOLK
Practice Address - State:VA
Practice Address - Zip Code:23510-1556
Practice Address - Country:US
Practice Address - Phone:847-494-6370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-11
Last Update Date:2014-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL070018009225100000X
VA2305208537225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist