Individual
KAYLA ROSE TANINIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1346 ROUTE 739, DINGMANS FERRY, PA 18328-3423
(570) 840-2354
Mailing address
41 REINING RD, HONESDALE, PA 18431-3143
(570) 352-8364
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE013434
PA
Other
Enumeration date
01/02/2024
Last updated
01/02/2024
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