Individual
MRS. TANYA RENEE MANDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
800 S TAFT AVE, LOVELAND, CO 80537-6347
(970) 613-5000
Mailing address
800 S TAFT AVE, LOVELAND, CO 80537-6347
(970) 613-5000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.0004491
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
348812
NATIONAL BOARD CERTIFICATION IN OCCUPATIONAL THERAPY (NBCOT)
—
01
—
OT.0004491
CO DORA
CO
Enumeration date
11/25/2015
Last updated
01/24/2025
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