Individual
KAYLA MICHELE TEAGUE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
10011 EUCLID AVE, CLEVELAND, OH 44106-4701
(216) 791-8363
(216) 791-2539
Mailing address
10011 EUCLID AVE, CLEVELAND, OH 44106-4701
(216) 791-8363
(216) 791-2539
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT.008917
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8959042
—
OH
Enumeration date
02/23/2015
Last updated
02/23/2015
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