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Individual

KYLA SAND

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
1808 MAIN RD, TIVERTON, RI 02878-4625
(401) 625-9855
(401) 625-9856
Mailing address
9 BARNEY CT, APT R, NEWPORT, RI 02840-2919
(401) 595-2944

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT01939
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
13859
NEIGHBOR HOOD HEALTH PLAN
RI
01
29534-7
RI BLUE CROSS BLUE SHEILD
RI
01
412576
RI BLUE CHIP
RI
01
64-00296
UNITED HEALTH
RI
01
PT01939
TRI-CARE
RI
Enumeration date
05/03/2006
Last updated
07/08/2007
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