Individual
KYLA LEE ANN KISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
65 COOPER ST, AGAWAM, MA 01001-2149
(413) 786-8000
Mailing address
65 PARK RD, MARLBOROUGH, CT 06447-1137
(518) 698-4969
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/01/2018
Last updated
02/01/2018
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