Individual
MATTHEW KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2290 CAMDEN PL, BLANCHARD, OK 73010-3073
(405) 550-6841
Mailing address
2290 CAMDEN PL, BLANCHARD, OK 73010-3073
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1653
OK
Other
Enumeration date
10/22/2015
Last updated
10/22/2015
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