Individual
SHANDA KEMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
817 PIONEER AVE, CASHMERE, WA 98815-1235
(509) 782-1251
Mailing address
416 4TH ST APT 3, WENATCHEE, WA 98801-7801
(318) 537-1782
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC60952945
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000
N/A
—
Enumeration date
11/21/2020
Last updated
11/21/2020
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