# KENDRA KELLER JACK

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** Yes

## Provider details

- **NPI number:** 1447668009
- **Gender:** F
- **Credential:** OTR/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 283XC2000X | Children's Rehabilitation Hospital | 056.009954 | IL | Yes |

## Other

- **Enumeration date:** 07/28/2014
- **Last updated:** 08/19/2021