Individual
BRITTANY KENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4640 MARTIN RD, CUMMING, GA 30041-5542
(404) 759-6808
Mailing address
5845 CRESTWICK WAY, CUMMING, GA 30040-0612
(404) 759-6808
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT004033
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003144316A
—
GA
Enumeration date
05/15/2014
Last updated
05/15/2014
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