Individual
KENDRA MANHERTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3513 SHADY CREEK DR, DURHAM, NC 27713-8119
(919) 618-5995
Mailing address
3513 SHADY CREEK DR, DURHAM, NC 27713-8119
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
0119005790
VA
225X00000X
Occupational Therapist
Primary
07039
MD
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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