Individual
MR. BRANDT KENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 ALEXANDER LOOP, EUGENE, OR 97401-6524
(541) 345-6199
Mailing address
426 KESTREL ST N, KEIZER, OR 97303-5312
(623) 824-3462
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09218
OR
Other
Enumeration date
03/15/2017
Last updated
03/15/2017
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