Most Relevant Information
Provider Data
| NPI Number: | 1003280256 |
| Provider Name: | TANYA RENEE MANDER MOT, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT.0004491 |
Most Important Dates
| Enumeration Date: | 11/25/2015 |
| Last Updated: | 02/22/2024 |
Provider Practice Location
2261 ENTERPRISE DR
ALAMOSA
CO
811013603
Practice Location Phone/Fax
| Phone: | 7195895851 |
| Fax: |
Provider Mailing Location
2261 ENTERPRISE DR
ALAMOSA
CO
811013603
Provider Mailing Phone/Fax
| Phone: | 8774963332 |
| Fax: |