Provider Demographics
NPI:1992067243
Name:KAR, PURNANANDA (OTR,CLT)
Entity type:Individual
Prefix:MR
First Name:PURNANANDA
Middle Name:
Last Name:KAR
Suffix:
Gender:M
Credentials:OTR,CLT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:744 BETHANY LAKE BLVD
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75002-4810
Mailing Address - Country:US
Mailing Address - Phone:972-727-1139
Mailing Address - Fax:
Practice Address - Street 1:744 BETHANY LAKE BLVD
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75002-4810
Practice Address - Country:US
Practice Address - Phone:972-727-1139
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-12
Last Update Date:2012-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX107688225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist