Individual
MISS KAYLA EBBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2589 MOSSIDE BLVD, MONROEVILLE, PA 15146-3510
(412) 372-3682
(412) 372-3801
Mailing address
204 ROLLING DR, PITTSBURGH, PA 15229-1029
(412) 973-6755
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP008089
PA
Other
Enumeration date
02/11/2015
Last updated
02/11/2015
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