Individual
KENDRA ALLYN WIEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
168 N 7TH ST, LEHIGHTON, PA 18235-1202
(484) 464-5123
Mailing address
221 MAHALANI ST, WAILUKU, HI 96793-2526
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/13/2017
Last updated
07/13/2017
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