Individual
KENDRA JOY VANDERWOUDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
401 LAMBERT RD, BISCOE, NC 27209-9002
(910) 428-2117
Mailing address
16401 BLACKBERRY HILLS DR, MIDLAND, NC 28107-9049
Taxonomy
Speciality
Code
Description
License number
State
225XG0600X
Gerontology Occupational Therapist
Primary
15782
NC
Other
Enumeration date
10/02/2023
Last updated
10/02/2023
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