Provider Demographics
NPI:1104274380
Name:BEST, TANNYA EVELYN (COTA/L)
Entity type:Individual
Prefix:MRS
First Name:TANNYA
Middle Name:EVELYN
Last Name:BEST
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 1:3114A STATE ROUTE 151
Mailing Address - Street 2:
Mailing Address - City:ALIQUIPPA
Mailing Address - State:PA
Mailing Address - Zip Code:15001-5900
Mailing Address - Country:US
Mailing Address - Phone:814-221-4980
Mailing Address - Fax:
Practice Address - Street 1:3114A STATE ROUTE 151
Practice Address - Street 2:
Practice Address - City:ALIQUIPPA
Practice Address - State:PA
Practice Address - Zip Code:15001-5900
Practice Address - Country:US
Practice Address - Phone:814-221-4980
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-29
Last Update Date:2016-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP008107224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant