Individual
KENDALL THIRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
N2740 FRENCH RD, FREEDOM, WI 54913-8919
(920) 349-5314
(877) 540-0135
Mailing address
6233 DURAND AVE STE 104, MT PLEASANT, WI 53406-4961
(262) 497-7270
(877) 540-0135
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6711-26
WI
Other
Enumeration date
08/28/2020
Last updated
08/28/2020
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