Individual
KAYLA LYNN COLLETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
15 PARKMAN ST STE 127, BOSTON, MA 02114-3117
(617) 726-2961
Mailing address
63 RUSSELL ST APT 2, CHARLESTOWN, MA 02129-1822
(508) 864-6981
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24087
MA
Other
Enumeration date
02/11/2019
Last updated
02/11/2019
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