Individual
KAYLA CONCANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
1112 HARROGATE WAY, AMBLER, PA 19002-1841
(215) 460-6749
Mailing address
1112 HARROGATE WAY, AMBLER, PA 19002-1841
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC016761
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OC016761
OCCUPATIONAL THERAPIST
PA
Enumeration date
02/02/2023
Last updated
02/02/2023
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