Individual
MRS. TANYA MARIE PERKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1127 CALDWELL BLVD., NAMPA, ID 83651
(208) 465-4935
(208) 465-4953
Mailing address
4560 SE INTERNATIONAL WAY, STE. 100, MILWAUKIE, OR 97222
(971) 206-5200
(971) 206-5203
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-1060
ID
Other
Enumeration date
10/05/2011
Last updated
10/05/2011
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