Individual
KAYLA COOLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
85 MARIBETH DR, CHAMBERSBURG, PA 17202-8216
(717) 261-7534
Mailing address
85 MARIBETH DR, CHAMBERSBURG, PA 17202-8216
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP007336
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
OP007336
—
PA
Enumeration date
12/27/2018
Last updated
12/27/2018
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