Individual
KYNDRA S RICHARDSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2502 CENTENNIAL DR, GARLAND, TX 75042-5602
(702) 278-2215
Mailing address
2502 CENTENNIAL DR, GARLAND, TX 75042-5602
(702) 278-2215
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216571
TX
Other
Enumeration date
06/07/2021
Last updated
06/07/2021
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