Individual
KAYLA PUCKETT
Active
Individual
KAYLA PUCKETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
69547
NY
Other
Enumeration date
04/06/2023
Last updated
04/06/2023
Update your record
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