Individual
MRS. KYLA JO MARTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S., OTR/L
Contact information
Practice address
14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-9218
(162) 324-2690
Mailing address
14557 W INDIAN SCHOOL RD, GOODYEAR, AZ 85395-9218
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
6969
AZ
Other
Enumeration date
06/01/2017
Last updated
04/27/2020
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