Provider Demographics
NPI:1902308513
Name:DILLOW, KAYLA BRIANA (OTR/L)
Entity Type:Individual
Prefix:
First Name:KAYLA
Middle Name:BRIANA
Last Name:DILLOW
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1873 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:BLAND
Mailing Address - State:VA
Mailing Address - Zip Code:24315-5368
Mailing Address - Country:US
Mailing Address - Phone:276-722-2955
Mailing Address - Fax:
Practice Address - Street 1:1873 MAIN ST
Practice Address - Street 2:
Practice Address - City:BLAND
Practice Address - State:VA
Practice Address - Zip Code:24315-5368
Practice Address - Country:US
Practice Address - Phone:276-722-2955
Practice Address - Fax:276-722-2955
Is Sole Proprietor?:Yes
Enumeration Date:2018-02-28
Last Update Date:2018-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist