Individual
KAYLA NIEWOLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
863 HATHAWAY RD, NEW BEDFORD, MA 02740-1916
(508) 996-6763
Mailing address
10 ATLAS ST, FAIRHAVEN, MA 02719-3722
(774) 992-8943
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4755
MA
Other
Enumeration date
02/15/2022
Last updated
02/15/2022
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