Individual
KENDALL LAFAVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOT, OTR/L
Contact information
Practice address
4935 HILLEGAS RD STE 200, FORT WAYNE, IN 46818-1934
(260) 338-1241
Mailing address
4935 HILLEGAS RD STE 200, FORT WAYNE, IN 46818-1934
(260) 338-1241
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010077
MI
Other
Enumeration date
02/22/2018
Last updated
11/07/2018
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