Individual
KENDRA NICOLE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5820
(580) 379-5829
Mailing address
1200 E PECAN ST, ALTUS, OK 73521-6141
(580) 379-5820
(580) 379-5829
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
1770
OK
225X00000X
Occupational Therapist
Primary
5865
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201089730A
—
OK
Enumeration date
10/07/2021
Last updated
03/08/2024
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