Kyla Nicole Ibarra, PTA

NPI #1326766643 in Wagoner, Oklahoma

Provider Information

NPI Number: 1326766643
Entity Type: Individual
Name: Kyla Nicole Ibarra, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 22, 2022
Last Updated: Aug 22, 2022

Practice Location

Address: 817 W CHEROKEE ST
City: Wagoner
State: Oklahoma
ZIP Code: 74467-4616
Phone: (918) 485-3100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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