Individual
KAILYN D VITRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
7000 SPYGLASS CT STE 120, MELBOURNE, FL 32940-7948
(321) 241-6543
(321) 241-6513
Mailing address
7000 SPYGLASS CT STE 120, MELBOURNE, FL 32940-7948
(321) 241-6543
(321) 241-6513
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA31049
FL
Other
Enumeration date
09/29/2021
Last updated
09/29/2021
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