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Individual

KENDRA ANN ELLIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MASTER OF SCIENCE

Contact information

Practice address
725 4TH ST, MARYSVILLE, CA 95901-5655
(530) 749-7529
Mailing address
1068 MIDDLEHOFF LN APT D, OROVILLE, CA 95965-4448
(831) 295-1216

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14746
CA

Other

Enumeration date
01/11/2019
Last updated
06/11/2019
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