Kayla Marie Prom

NPI #1164918504 in Mayville, Wisconsin

Provider Information

NPI Number
1164918504
Entity Type
Individual
Name
Kayla Marie Prom
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Enumeration Date
Jul 9, 2018
Last Updated
Jul 9, 2018

Practice Location

Address
305 S CLARK ST
ZIP Code
53050-1488
Phone
(920) 387-0354

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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