Individual
AMANDA KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 FAIRBANKS AVE, ALEXANDRIA, VA 22311-1246
(717) 870-5759
Mailing address
1165 N VAN DORN ST, ALEXANDRIA, VA 22304-1914
(717) 870-5759
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119003770
VA
Other
Enumeration date
08/20/2024
Last updated
08/20/2024
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