Provider Demographics
NPI:1184665242
Name:KEY, TANA G (OT)
Entity Type:Individual
Prefix:MRS
First Name:TANA
Middle Name:G
Last Name:KEY
Suffix:
Gender:F
Credentials:OT
Other - Prefix:MRS
Other - First Name:TANA
Other - Middle Name:L
Other - Last Name:GWYN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:10 CROWNBERRY CT
Mailing Address - Street 2:
Mailing Address - City:SPRING
Mailing Address - State:TX
Mailing Address - Zip Code:77381-2959
Mailing Address - Country:US
Mailing Address - Phone:281-723-0475
Mailing Address - Fax:
Practice Address - Street 1:1011 MEDICAL PLAZA DR
Practice Address - Street 2:SUITE 150
Practice Address - City:THE WOODLANDS
Practice Address - State:TX
Practice Address - Zip Code:77380-3249
Practice Address - Country:US
Practice Address - Phone:281-367-1912
Practice Address - Fax:281-367-5101
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2014-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX108183225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX00W860OtherPINNACLE THERAPY