Individual
KAYLA TIFFANY MIGNOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1118 CAMPUS DR, MORGANVILLE, NJ 07751-1261
(732) 637-4323
(732) 362-7832
Mailing address
1112 W 8TH ST, PLAINFIELD, NJ 07063-1552
(908) 531-6339
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01215300
NJ
225XP0200X
Pediatric Occupational Therapist
46TR01215300
NJ
Other
Enumeration date
12/05/2024
Last updated
12/05/2024
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