Individual
KELLY MCKENDREE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7120 CORBIN AVE, RESEDA, CA 91335-3618
(818) 881-4540
Mailing address
7120 CORBIN AVE, RESEDA, CA 91335-3618
(818) 881-4540
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA3704
CA
Other
Enumeration date
01/20/2017
Last updated
01/20/2017
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