Individual
MISS KAYLA MARIE SHAFFER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1100 W LONG AVE, DU BOIS, PA 15801-8799
(814) 371-3180
Mailing address
989 STRONACH RD, CURWENSVILLE, PA 16833-7726
(814) 762-6814
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OP00815
PA
Other
Enumeration date
12/17/2021
Last updated
12/17/2021
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