Individual
KIMBERLY HENDREN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2703 MILLER ST, BETHANY, MO 64424-2704
(660) 425-0236
Mailing address
2703 MILLER ST, BETHANY, MO 64424-2704
(660) 425-0236
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2017022946
MO
Other
Enumeration date
11/20/2023
Last updated
11/20/2023
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