Provider Demographics
NPI:1427740992
Name:METER, KARA LYNN (MS, OTR/L)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:LYNN
Last Name:METER
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:535 SHEA LOOP
Mailing Address - Street 2:
Mailing Address - City:MYRTLE BEACH
Mailing Address - State:SC
Mailing Address - Zip Code:29588-5509
Mailing Address - Country:US
Mailing Address - Phone:708-548-8966
Mailing Address - Fax:
Practice Address - Street 1:1021 2ND AVE N STE 6
Practice Address - Street 2:
Practice Address - City:NORTH MYRTLE BEACH
Practice Address - State:SC
Practice Address - Zip Code:29582-3200
Practice Address - Country:US
Practice Address - Phone:843-286-5168
Practice Address - Fax:844-318-8980
Is Sole Proprietor?:No
Enumeration Date:2023-05-23
Last Update Date:2023-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC6800225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist