Provider Demographics
NPI:1841635976
Name:DOBSON MANN, KAYLA COURTNEY
Entity type:Individual
Prefix:MRS
First Name:KAYLA
Middle Name:COURTNEY
Last Name:DOBSON MANN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 FOX DR
Mailing Address - Street 2:
Mailing Address - City:ARABI
Mailing Address - State:LA
Mailing Address - Zip Code:70032-1913
Mailing Address - Country:US
Mailing Address - Phone:504-717-1793
Mailing Address - Fax:
Practice Address - Street 1:27018 NE 14TH STREET
Practice Address - Street 2:SUITE 5 BUTTERFLY EFFECTS
Practice Address - City:POMPANO BEACH
Practice Address - State:FL
Practice Address - Zip Code:33064-1913
Practice Address - Country:US
Practice Address - Phone:888-880-9270
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-02
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Q00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersDevelopmental Therapist