Individual
KYRA MICHELLE SHIELDS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Contact information
Practice address
430 NAZARETH PIKE, NAZARETH, PA 18064-9615
(610) 365-2437
Mailing address
3000 AGNES ST, EASTON, PA 18045-2521
(216) 312-2316
(216) 312-2316
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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