Individual
KENDRA ANN WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA OTR/L
Contact information
Practice address
3333 UNIVERSITY AVE SE, MINNEAPOLIS, MN 55414-3325
(612) 728-5396
Mailing address
2775 LEXINGTON AVE N, APT 115, ROSEVILLE, MN 55113-2079
(612) 437-2132
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
103909
MN
Other
Enumeration date
09/27/2010
Last updated
08/10/2012
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