Most Relevant Information
Provider Data
| NPI Number: | 1003297094 |
| Provider Name: | KYLE CAMPBELL PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | TEI003609 |
Most Important Dates
| Enumeration Date: | 06/15/2015 |
| Last Updated: | 06/15/2015 |
Provider Practice Location
2493 MILFORD RD
SUITE 300
EAST STROUDSBURG
PA
183019720
Practice Location Phone/Fax
| Phone: | 5704241706 |
| Fax: |
Provider Mailing Location
2493 MILFORD RD
SUITE 300
EAST STROUDSBURG
PA
183019720
Provider Mailing Phone/Fax
| Phone: | 5704241706 |
| Fax: |