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Individual

CLAYTON ALLAN KENDRICK I

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
120 MEADOW VIEW DR, JUSTIN, TX 76247-9639
(940) 648-2731
Mailing address
5409 JANET LN, COLLEYVILLE, TX 76034-5589
(903) 571-9574

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2156844
TX

Other

Enumeration date
02/19/2021
Last updated
02/19/2021
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