Individual
KENNY HENDRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
415 INDIAN OAKS DR, HARKER HEIGHTS, TX 76548-6202
(254) 699-5051
Mailing address
415 INDIAN OAKS DR, HARKER HEIGHTS, TX 76548-6202
(254) 699-5051
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
215605
TX
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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