Individual
KENDRA L BOMGARDNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT, ORT/L
Contact information
Practice address
680 KINGSBOROUGH SQ STE B, CHESAPEAKE, VA 23320-4988
(757) 547-0434
(757) 547-0612
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(914) 294-4050
(631) 760-8306
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008823
VA
Other
Enumeration date
11/19/2020
Last updated
11/19/2020
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