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Individual

KIERSTIN ALYSE FILLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DPT

Contact information

Practice address
307 W MAIN ST, STE B, KENT, OH 44240-2400
(330) 678-7338
(330) 677-3400
Mailing address
307 W MAIN ST, STE B, KENT, OH 44240-2400
(330) 678-7338
(330) 677-3400

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT016254
OH
225100000X
Physical Therapist
PT022993
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0165043
OH
Enumeration date
08/28/2013
Last updated
06/03/2016
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