Individual
PAMELA DIANE NANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3907 E KIRKLIN BRICK RD, FRANKFORT, IN 46041-8633
(765) 242-7259
Mailing address
3907 E KIRKLIN BRICK RD, FRANKFORT, IN 46041-8633
(765) 242-7259
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
32001890A
IN
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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