Individual
KEDESHA A. CAMPBELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
294 N MIDLAND AVE, NYACK, NY 10960-1657
(609) 226-9087
Mailing address
294 N MIDLAND AVE, NYACK, NY 10960-1657
(609) 226-9087
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011718
NY
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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