Individual
KYLE ESCOVEDO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
335 BRIGHTON AVE STE 201, PORTLAND, ME 04102-2365
(207) 775-4000
Mailing address
3478 KENNETH DR, PALO ALTO, CA 94303-4218
(650) 465-4381
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT4342
ME
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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