Individual
KAYIN CHILDRESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
200 CHARLES EWING BLVD STE 170, TRENTON, NJ 08628-3451
(609) 924-8131
Mailing address
263 WINDSOR CMNS, EAST WINDSOR, NJ 08512-2527
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
40QB00425400
NJ
Other
Enumeration date
07/16/2025
Last updated
07/16/2025
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