| NPI | 1689290280 |
|---|---|
| Former Name | KAYLA MICHELE LEAL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: AR PT4894) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2022017736) |
| Enumeration Date | 2020-06-19 |
| Last Update Date | 2022-05-24 |