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Individual

KENDRICK LAMON BANKHEAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7009 ALMEDA RD APT 1520, HOUSTON, TX 77054-2183
(601) 813-8314
Mailing address
7009 ALMEDA RD APT 1520, HOUSTON, TX 77054-2183
(601) 813-8314

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
112894
TX
225X00000X
Occupational Therapist
OT2236
MS

Other

Enumeration date
01/22/2009
Last updated
01/22/2009
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