Individual
MS. BRENDA KAE HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
7460 LAKE BREEZE DR, FORT MYERS, FL 33907-8090
(239) 481-6615
(239) 481-6654
Mailing address
7460 LAKE BREEZE DR, FORT MYERS, FL 33907-8090
(239) 481-6615
(239) 481-6654
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA10806
FL
Other
Enumeration date
01/28/2010
Last updated
01/28/2010
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