Individual
KENDALL NOEL KING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
6006 BRANDY CHASE CV, FORT WAYNE, IN 46815-7601
(260) 486-3001
Mailing address
2812 REPTON DR, FORT WAYNE, IN 46815-8016
(260) 239-2112
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31008378A
IN
Other
Enumeration date
04/24/2024
Last updated
04/24/2024
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