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Individual

KAYLA HARMON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
4445 HIGHWAY A1A, SUITE 125, VERO BEACH, FL 32963-5405
(772) 231-3676
(772) 231-3670
Mailing address
4445 HIGHWAY A1A, SUITE 125, VERO BEACH, FL 32963-5405
(772) 231-3676
(772) 231-3670

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA25108
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA25108
STATE LICENSE
FL
Enumeration date
10/15/2014
Last updated
10/15/2014
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