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Individual

KYRA PATEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
212 MARTER AVE, MOORESTOWN, NJ 08057-3114
(856) 291-4800
Mailing address
805 W ORCHARD DR STE 2, BELLINGHAM, WA 98225-1759

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
46TR00719400
NJ
225X00000X
Occupational Therapist
Primary
60824406
WA
225X00000X
Occupational Therapist
OC014125
PA

Other

Enumeration date
12/02/2015
Last updated
11/29/2023
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