Individual
TANNER SCANLON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
4915 CHARLESTOWN RD, NEW ALBANY, IN 47150-9426
(812) 945-5221
Mailing address
5911 GRANDEL BLVD, LOUISVILLE, KY 40258-3099
(502) 449-3112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31006850A
IN
Other
Enumeration date
03/25/2019
Last updated
03/25/2019
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