Individual
MRS. PATRICIA M. KANAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
1315 GREENSBORO RD, HIGH POINT, NC 27260-2611
(336) 821-6592
Mailing address
1315 GREENSBORO RD, HIGH POINT, NC 27260-2611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4545
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4545
OT
NC
Enumeration date
04/12/2008
Last updated
04/12/2008
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