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Individual
KAYLA BRUCE MANUEL
Active
Individual
KAYLA BRUCE MANUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LOTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTT.200566
LA
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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