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Individual

DR. KYRA OLIVIA GAINOUS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
610 E BELLA VISTA ST, LAKELAND, FL 33805-3008
(863) 688-8591
Mailing address
2526 CHERRYWOOD HILL DR APT 210, BRANDON, FL 33511-2354
(813) 381-0769

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT20240
FL

Other

Enumeration date
12/19/2019
Last updated
12/19/2019
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