Individual
KENDRA MARIE MARAIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1422 W. WILLOW ST SUITE 100, CHICAGO, IL 60642
(773) 980-0300
Mailing address
1422 W. WILLOW ST SUITE 100, CHICAGO, IL 60642
(513) 755-6600
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
056.012091
IL
225XP0200X
Pediatric Occupational Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0406425
—
OH
Enumeration date
08/28/2017
Last updated
04/20/2022
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