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Individual

KYLA KIMBERLY SHARRAH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
9141 CYPRESS GREEN DR STE 2, JACKSONVILLE, FL 32256-2006
(904) 647-1849
Mailing address
113 KINGS MANOR CT, ST AUGUSTINE, FL 32086-5283
(717) 357-6595

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
225XP0200X
Pediatric Occupational Therapist
Primary
FL

Other

Enumeration date
09/22/2017
Last updated
09/22/2017
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