Individual
MS. TANIA LOUISE KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7540 NORTH 19 AVE, PHOENIX, AZ 85021
(888) 873-4221
(888) 543-2289
Mailing address
238 MERTON AVE, HARTLAND, WI 53029-1813
(920) 728-3338
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2014-027
WI
Other
Enumeration date
07/10/2007
Last updated
07/10/2007
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