Individual
MRS. KENDRA KAY GRUBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR - L
Contact information
Practice address
7210 HEATHER RD, MACUNGIE, PA 18062-9431
(610) 336-9414
Mailing address
7210 HEATHER RD, MACUNGIE, PA 18062-9431
(610) 336-9414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC007277L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019276800003
—
PA
Enumeration date
03/08/2007
Last updated
07/13/2007
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