Individual
KENNISHA ANDERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
24015 COPPERHILL DR APT 9301, VALENCIA, CA 91354-5030
(818) 723-8963
Mailing address
24015 COPPERHILL DR APT 9301, VALENCIA, CA 91354-5030
(818) 723-8963
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14903
CA
Other
Enumeration date
12/09/2014
Last updated
07/09/2024
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