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NPI Code Detail

MEDICARE: LUANN E KANGAS OT

MEDICARE: LUANN E KANGAS OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOC000474LPA

General Provider Information

NPI Number : 1568644730
Entity Type Code : Individual
Provider Name (Legal Business Name) : LUANN E KANGAS OT
Provider Business Mailing Address
First Line : 421 S BEST AVE
Second Line :
City : WALNUTPORT
State : PA
Zip : 18088-1217
Country : US
Telephone Number : 610-760-1520
Fax Number : 610-760-1721
Provider Business Practice Location Address
First Line : 624 WILHELM RD
Second Line :
City : HARRISBURG
State : PA
Zip : 17111-2169
Country : US
Telephone Number : 717-564-4846
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2007
Last Update Date : 11/29/2007

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Directions to “ LUANN E KANGAS OT” Practice Location

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