Individual
RENEE L KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1371 SHOREWOOD DR, LA CROSSE, WI 54601-7037
(608) 317-6435
Mailing address
1371 SHOREWOOD DR, LA CROSSE, WI 54601-7037
(608) 317-6435
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1789-027
WI
225200000X
Physical Therapy Assistant
827-019
WI
225200000X
Physical Therapy Assistant
A1228
MN
Other
Enumeration date
04/16/2009
Last updated
04/16/2009
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