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Individual

KYNDALL SAMANTHA FOX

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
3900 WASHINGTON AVE STE 100A, EVANSVILLE, IN 47714-0550
(812) 485-7337
Mailing address
1205 S VILLA DR, EVANSVILLE, IN 47714-3249
(812) 568-2966

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007619A
IN
225X00000X
Occupational Therapist
IN

Other

Enumeration date
12/23/2021
Last updated
06/13/2022
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