Individual
KENDRA ISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1110 KEPLER DR, GREEN BAY, WI 54311-8306
(920) 288-4712
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8931
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
10033857
—
WI
Enumeration date
06/26/2025
Last updated
07/08/2025
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