Individual
KENDRA LYNNE WARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2120 EXCHANGE ST, SUITE 104, ASTORIA, OR 97103-3365
(503) 325-7711
Mailing address
1456 FRANKLIN AVE, ASTORIA, OR 97103-3821
(757) 232-3092
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1008792
OR
Other
Enumeration date
03/21/2011
Last updated
03/21/2011
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