Individual
JOYCELYN LOUISE KIRKENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4080 NELSON RD STE 400, LAKE CHARLES, LA 70605-2439
(337) 497-0434
(337) 494-7548
Mailing address
4080 NELSON RD STE 500, LAKE CHARLES, LA 70605-2440
(337) 497-0434
(337) 494-7548
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTT.200423
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12405653
CAQH
LA
Enumeration date
07/14/2009
Last updated
07/19/2012
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