Individual
MISS KAYLA ANN IRWIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
230 DIVISION ST, MANAHAWKIN, NJ 08050-3130
(609) 607-7400
(609) 488-5654
Mailing address
230 DIVISION ST, MANAHAWKIN, NJ 08050-3130
(609) 607-7400
(609) 488-5654
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00843900
NJ
Other
Enumeration date
11/01/2018
Last updated
11/01/2018
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