Individual
COLLEEN REILLY KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3803B COMPUTER DR STE 200, RALEIGH, NC 27609-6503
(919) 791-3582
Mailing address
6420 WYNBROOK WAY, RALEIGH, NC 27612-2365
(919) 946-8574
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13640
NC
Other
Enumeration date
11/05/2020
Last updated
01/08/2021
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