Individual
KAYLA COURTNEY KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
44 BROAD STREET RD, MANAKIN SABOT, VA 23103-2213
(804) 784-7090
(804) 784-7092
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2714
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006870
VA
Other
Enumeration date
03/14/2016
Last updated
04/20/2022
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