Individual
KYLA GOMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
Mailing address
2519 COVE AVE, LA GRANDE, OR 97850-3910
(541) 962-0830
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
65174
OR
Other
Enumeration date
02/27/2024
Last updated
02/27/2024
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