Individual
KAYLA MARIE RADCLIFFE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
147 CIOKOTA LN, PORTAGE, PA 15946-8302
(814) 421-6859
Mailing address
147 CIOKOTA LN, PORTAGE, PA 15946-8302
(814) 421-6859
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE010047
PA
Other
Enumeration date
02/21/2016
Last updated
02/21/2016
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