Individual
KENDRA DEARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1 SILVERCREST DR, NEW ALBANY, IN 47150-7800
(812) 542-6720
Mailing address
2524 PALMETTO CT, FLORENCE, KY 41042-9047
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31005860A
IN
225X00000X
Occupational Therapist
BOTOCT00195836
KY
Other
Enumeration date
06/01/2015
Last updated
06/01/2015
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