Provider Demographics
NPI:1760155261
Name:KOHANSKI, KAYLA DOROTHY (OTR/L)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:DOROTHY
Last Name:KOHANSKI
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 1:58 FOX ST
Mailing Address - Street 2:
Mailing Address - City:DRACUT
Mailing Address - State:MA
Mailing Address - Zip Code:01826-5656
Mailing Address - Country:US
Mailing Address - Phone:978-935-8046
Mailing Address - Fax:
Practice Address - Street 1:1555 MAIN ST
Practice Address - Street 2:
Practice Address - City:TEWKSBURY
Practice Address - State:MA
Practice Address - Zip Code:01876-4741
Practice Address - Country:US
Practice Address - Phone:978-770-0730
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-29
Last Update Date:2021-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist