Individual
CHRYSALIS CHEYENNE KENDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
101 N MAIN ST, COUPEVILLE, WA 98239-3413
(360) 678-7619
Mailing address
1001 W SENECA ST, ITHACA, NY 14850-3342
(607) 882-9520
(607) 882-9522
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
016941
NY
225X00000X
Occupational Therapist
OT60745668
WA
Other
Enumeration date
10/10/2011
Last updated
11/02/2018
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