Individual
BRENDA LOUISE KEMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
64 DANBURY RD, WILTON, CT 06897-4429
(210) 557-5851
Mailing address
8009 E MICK RD, EDWARDSVILLE, IL 62025-6923
(618) 402-5171
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057002329
IL
Other
Enumeration date
07/25/2018
Last updated
07/25/2018
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