Provider Demographics
NPI:1821474909
Name:KANIA, EVA LORRAINE (COTA/L)
Entity Type:Individual
Prefix:MS
First Name:EVA
Middle Name:LORRAINE
Last Name:KANIA
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1325 O ST
Mailing Address - Street 2:APT 10
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95814-5949
Mailing Address - Country:US
Mailing Address - Phone:916-340-5753
Mailing Address - Fax:
Practice Address - Street 1:1325 O ST
Practice Address - Street 2:APT 10
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95814-5949
Practice Address - Country:US
Practice Address - Phone:916-340-5753
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-30
Last Update Date:2018-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
224Z00000X
CA2603224ZE0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224ZE0001XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy AssistantEnvironmental Modification
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant