Individual
KAILEY ALLYSON BENDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2521 WINDWARD WAY, CHULA VISTA, CA 91914-4526
(619) 621-5266
Mailing address
701 HEMLOCK AVE, IMPERIAL BEACH, CA 91932-3412
(310) 469-1156
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19185
CA
Other
Enumeration date
09/10/2018
Last updated
09/10/2018
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