Individual
DR. KYLA ISABELLA VACCHIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
5 ROOSEVELT AVE STE A, CHATHAM, NJ 07928-2572
(973) 507-9730
Mailing address
90 EASTERN AVE, SOMERVILLE, NJ 08876-2535
(908) 812-2033
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR01025200
NJ
Other
Enumeration date
01/11/2022
Last updated
01/11/2022
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