Individual
MRS. EMMA YANITZA KENDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
110 CHERRY ST, HOLYOKE, MA 01040-7002
(413) 539-6910
Mailing address
106 WRENWOOD ST, SPRINGFIELD, MA 01119-2216
(413) 786-5479
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
3393
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3393
CERTIFIED OCCUPATIONAL THERAPY ASSISTANT
MA
Enumeration date
01/21/2013
Last updated
01/21/2013
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