MEDICARE: TANIA KNEUER OTL ASDCS

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
1	225XM0800X	Mental Health Occupational Therapist	1039951	OR
2	225XN1300X	Neurorehabilitation Occupational Therapist	1039951	OR
3	225XP0019X	Physical Rehabilitation Occupational Therapist	1039951	OR
4	225XP0200X	Pediatric Occupational Therapist	1039951	OR
5	225XM0800X	Mental Health Occupational Therapist
6	101YM0800X	Mental Health Counselor	1039951	OR
7	225X00000X	Occupational Therapist	1039951	OR
8	225XF0002X	Feeding, Eating & Swallowing Occupational Therapist	1039951	OR
9	225XG0600X	Gerontology Occupational Therapist	1039951	OR
10	225XH1300X	Human Factors Occupational Therapist	1039951	OR

General Provider Information

NPI Number	:	1013064633
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TANIA KNEUER OTL ASDCS

Provider Business Mailing Address
First Line	:	63368 SADDLEBACK DR
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-8566
Country	:	US
Telephone Number	:	541-390-1493
Fax Number	:	541-322-7565

Provider Business Practice Location Address
First Line	:	63368 SADDLEBACK DR
Second Line	:
City	:	BEND
State	:	OR
Zip	:	97703-8566
Country	:	US
Telephone Number	:	541-390-1493
Fax Number	:	541-322-7565

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	01/06/2024

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