Individual
MISS KAYLA M WEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
32 LAUREL AVE, KEANSBURG, NJ 07734-1125
(732) 787-8100
Mailing address
2802 ICE HOUSE CT, FREEHOLD, NJ 07728-9146
(908) 208-5373
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR01068700
NJ
Other
Enumeration date
07/09/2022
Last updated
07/09/2022
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