Individual
KYLA ANDRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
123 COLONIAL DR APT F, READING, PA 19607-3619
(484) 706-2505
Mailing address
123 COLONIAL DR APT F, READING, PA 19607-3619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC017815
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200871937
—
PA
Enumeration date
08/20/2021
Last updated
08/20/2021
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