Kayla Courtney Kane, OTR/L

Individual provider Active NPI Occupational Therapist · Manakin Sabot, VA

NPI 1083075378 · NPPES record last updated Apr 20, 2022

Key facts

NPI
1083075378
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
0119006870 (VA)
Practice address
44 Broad Street Rd
Manakin Sabot, VA 23103-2213
Phone
(804) 784-7090
Fax
(804) 784-7092
NPI assigned
Mar 14, 2016
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
0119006870VAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119006870 VA Yes

Addresses

Primary practice location

44 Broad Street Rd
Manakin Sabot, VA 23103-2213

Mailing address

350 New Fidelity CT
Garner, NC 27529-2665
Phone (919) 258-2714

Other practice location 1

1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200

Other names

  • Kayla Kane Former name

Other providers in Manakin Sabot, VA

All providers in Manakin Sabot, VA · Occupational Therapist in Virginia

Sources for this page

Verify at the official NPI Registry.