Individual
KENDRA GARDNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
301 SEA HEADRIG DR, CIBOLO, TX 78108-3589
(210) 935-4267
Mailing address
301 SEA HEADRIG DR, CIBOLO, TX 78108-3589
(210) 935-4267
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
OTR1951
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
166595721
—
AR
Enumeration date
09/05/2007
Last updated
10/23/2024
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