Provider Demographics
NPI:1861701286
Name:KANAGY, ROBIN LYNNE (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:LYNNE
Last Name:KANAGY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:707 WHITE SCHOOL HOUSE RD.
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:ME
Mailing Address - Zip Code:04950
Mailing Address - Country:US
Mailing Address - Phone:207-431-8874
Mailing Address - Fax:
Practice Address - Street 1:56 N MAIN ST
Practice Address - Street 2:
Practice Address - City:NORTH ANSON
Practice Address - State:ME
Practice Address - Zip Code:04958-7511
Practice Address - Country:US
Practice Address - Phone:207-635-2327
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-04
Last Update Date:2010-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEOT2422174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist