Individual
KENDRA VANDER WAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
6970 S HOLLY CIR STE 200, CENTENNIAL, CO 80112-1066
(720) 287-4185
Mailing address
13863 E LEHIGH AVE APT B, AURORA, CO 80014-6134
(701) 400-3879
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1464
ND
Other
Enumeration date
03/17/2016
Last updated
01/10/2019
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