Individual
KYLIE KRISTEN OTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3200 S WATER ST, PITTSBURGH, PA 15203-2307
(412) 432-3700
Mailing address
151 VALLEYCREST DR, CECIL, PA 15321-1181
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
TE008767
PA
Other
Enumeration date
09/28/2010
Last updated
09/28/2010
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