Individual
DYLAN KITTILA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29800 HOOVER RD, WARREN, MI 48093-3483
(586) 574-3444
Mailing address
15326 CAMDEN AVE, EASTPOINTE, MI 48021-1504
(586) 871-1857
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502006501
MI
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
10/10/2022
Last updated
07/26/2024
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