Individual
MRS. KENDRA EASTWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
106 WEST ADAMS STREET, CORN, OK 73024
(580) 343-2852
Mailing address
RR 1 BOX 163, MOUNTAIN VIEW, OK 73062-9756
(580) 343-2852
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
801
OK
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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