Individual
KYRA ANACLETA MIHALICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
(671) 383-6522
Mailing address
555 AMORY ST, JAMAICA PLAIN, MA 02130-2652
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
19757
MA
Other
Enumeration date
01/31/2012
Last updated
01/31/2012
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