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NPI Code Detail

MEDICARE: AMBER KENDALL

MEDICARE: AMBER KENDALL
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
1224Z00000XOccupational Therapy Assistant213202TX

General Provider Information

NPI Number : 1881051274
Entity Type Code : Individual
Provider Name (Legal Business Name) : AMBER KENDALL
Provider Business Mailing Address
First Line : 1755 WITTINGTON PL STE 175
Second Line :
City : DALLAS
State : TX
Zip : 75234-1905
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1755 WITTINGTON PL STE 175
Second Line :
City : DALLAS
State : TX
Zip : 75234-1905
Country : US
Telephone Number : 214-442-4472
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/15/2016
Last Update Date : 01/15/2016

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Directions to “ AMBER KENDALL ” Practice Location

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