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NPI Code Detail

MEDICARE: KENDRA ANN PIONTEK MS OTR/L CLT

MEDICARE: KENDRA ANN PIONTEK MS OTR/L CLT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist5516SC

General Provider Information

NPI Number : 1508590050
Entity Type Code : Individual
Provider Name (Legal Business Name) : KENDRA ANN PIONTEK MS OTR/L CLT
Provider Business Mailing Address
First Line : 2387 LANTERN ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-4850
Country : US
Telephone Number : 317-750-9879
Fax Number :
Provider Business Practice Location Address
First Line : 2387 LANTERN ST
Second Line :
City : CHARLESTON
State : SC
Zip : 29414-4850
Country : US
Telephone Number : 317-750-9879
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2022
Last Update Date : 07/11/2022

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Directions to “ KENDRA ANN PIONTEK MS OTR/L CLT” Practice Location

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