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Individual

MRS. EMILY KATHERINE KENDRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
50 LACEY RD, WHITING, NJ 08759-2951
(732) 849-2757
Mailing address
315 STINSON RD, BRICK, NJ 08723-6821
(252) 916-1892

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
46TA09061100
NJ

Other

Enumeration date
04/04/2007
Last updated
04/16/2009
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