Individual
KAYLA O'MEARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
904 6TH AVENUE CT NE, ISANTI, MN 55040-3208
(763) 444-8700
Mailing address
904 6TH AVENUE CT NE, ISANTI, MN 55040-3208
(763) 444-8700
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
528681
MN
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/15/2023
Last updated
09/15/2023
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