Individual
KYLA DANIELLE GERARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1539 COUNTRY CLUB RD, FAIRMONT, WV 26554-1306
(304) 363-8479
Mailing address
1539 COUNTRY CLUB RD, FAIRMONT, WV 26554-1306
(304) 203-6704
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
002308
WV
Other
Enumeration date
12/27/2018
Last updated
12/27/2018
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