Provider Demographics
NPI:1720433188
Name:TORRENCE, KAYLA (MOT, OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:
Last Name:TORRENCE
Suffix:
Gender:F
Credentials:MOT, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1043 HARBOUR LIGHTS BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIANA
Mailing Address - State:OH
Mailing Address - Zip Code:44408-8472
Mailing Address - Country:US
Mailing Address - Phone:724-714-4998
Mailing Address - Fax:
Practice Address - Street 1:8561 MARKET ST
Practice Address - Street 2:
Practice Address - City:BOARDMAN
Practice Address - State:OH
Practice Address - Zip Code:44512-6727
Practice Address - Country:US
Practice Address - Phone:330-953-2383
Practice Address - Fax:330-953-2384
Is Sole Proprietor?:No
Enumeration Date:2016-05-04
Last Update Date:2021-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP008121224Z00000X
PAOC017398225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant