Most Relevant Information
Provider Data
| NPI Number: | 1003649633 |
| Provider Name: | AMANDA KANE |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 0119003770 |
Most Important Dates
| Enumeration Date: | 08/20/2024 |
| Last Updated: | 08/20/2024 |
Provider Practice Location
5000 FAIRBANKS AVE
ALEXANDRIA
VA
223111246
Practice Location Phone/Fax
| Phone: | 7178705759 |
| Fax: |
Provider Mailing Location
1165 N VAN DORN ST
ALEXANDRIA
VA
223041914
Provider Mailing Phone/Fax
| Phone: | 7178705759 |
| Fax: |