Individual
KAYLA MARLENE COTHRAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1565 SAXON BLVD STE 301, DELTONA, FL 32725-5836
(407) 416-5718
Mailing address
230 LUCERNE DR, DEBARY, FL 32713-3023
(407) 416-5718
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA29555
FL
Other
Enumeration date
07/30/2019
Last updated
07/30/2019
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