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1245921345
KAYLA RAE FULLER
VIRGINIA BEACH, VA
NPI
1245921345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306606334)
Enumeration Date
2023-05-18
Last Update Date
2024-10-29
Business Address
KAYLA RAE FULLER LPTA
1944 CENTERVILLE TPKE STE 101
VIRGINIA BEACH, VA 23464-6839
Phone number: 757-271-4585
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Mailing Address
KAYLA RAE FULLER LPTA
762 INDEPENDENCE BLVD STE B
VIRGINIA BEACH, VA 23455-6200
Phone number: 757-917-5061
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