Individual
KENDRICK DOUGLAS RATTRAY III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
116 KYLE LN, CRESTVIEW, FL 32539-7037
(850) 368-2062
Mailing address
116 KYLE LN, CRESTVIEW, FL 32539-7037
(850) 368-2062
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
09/29/2020
Last updated
02/17/2024
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