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Individual
KYLE DINICOLA
Active
Individual
KYLE DINICOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ORT/L, PTA
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
001833
CT
225200000X
Physical Therapy Assistant
Primary
—
—
225X00000X
Occupational Therapist
Primary
6648
CT
Other
Enumeration date
08/16/2019
Last updated
09/01/2026
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