Individual
KYLA SANTIAGO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
99 E STATE ST, GLOVERSVILLE, NY 12078-1203
(518) 725-8621
Mailing address
46 E MAIN ST, AMSTERDAM, NY 12010-4509
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9749383
NY
Other
Enumeration date
02/12/2020
Last updated
02/14/2020
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