Tiffany Marie Kanzler

NPI 1073870515 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1073870515
Gender Female
Enumeration Date 04/23/2012
Last Updated 09/13/2012
Entity Type Individual
Active Over 4 years ago
Practice Location
805 N WALNUT ST
UNIT 2B
ITASCA IL, 60143-2884, US
Phone (386) 214-7525
Fax
Business Location
805 N WALNUT ST
UNIT 2 B
ITASCA IL, 60143-2884, US
Phone (386) 214-7525
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Florida
License Number OTA11852
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According to our database, Miss Tiffany Marie Kanzler NPI is 1073870515, taxonomy code is 224Z00000X and license number is OTA11852, license state is located at Florida. Tiffany Marie Kanzler physically located at 805 N Walnut St, Itasca IL, 60143-2884. NPI Number Tiffany Marie Kanzler has the Individual type.

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1073870515 NPI number is provided on an as is basis without warranty of any kind. 1073870515 is maintained by the National Plan & Provider Enumeration System. The contents of Tiffany Marie Kanzler are for informational purposes only.