Most Relevant Information
Provider Data
| NPI Number: | 1003653148 |
| Provider Name: | KYLE ESCOVEDO OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT4342 |
Most Important Dates
| Enumeration Date: | 07/15/2024 |
| Last Updated: | 07/15/2024 |
Provider Practice Location
335 BRIGHTON AVE STE 201
PORTLAND
ME
041022365
Practice Location Phone/Fax
| Phone: | 2077754000 |
| Fax: |
Provider Mailing Location
3478 KENNETH DR
PALO ALTO
CA
943034218
Provider Mailing Phone/Fax
| Phone: | 6504654381 |
| Fax: |