NPI 1013684745
Kayla June Disciullo, PTA
Practice location
- Address
- 47 Commerce Dr, Colchester, VT 05446-8038
- Phone
- (802) 876-1000
- Fax
- (802) 876-1029
Registered specialties
Physical Therapy Assistant
Primary
Registry record
- NPI
- 1013684745
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Aug 2021
- Record last updated
- 30 Aug 2021
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.