Basic Information
Provider Information
NPI: 1720554470
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: POST
FirstName: KENDA
MiddleName:  
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Credential: OTR/L
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Mailing Information
Address1: 2738 MICKLE AVE
Address2:  
City: BRONX
State: NY
PostalCode: 104696118
CountryCode: US
TelephoneNumber: 5182103566
FaxNumber:  
Practice Location
Address1: 3400 CANNON PL
Address2:  
City: BRONX
State: NY
PostalCode: 104634302
CountryCode: US
TelephoneNumber: 7187968100
FaxNumber:  
Other Information
ProviderEnumerationDate: 10/21/2018
LastUpdateDate: 10/21/2018
NPIDeactivationReasonCode:  
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NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
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IsSoleProprietor: N
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AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225X00000X021364NYY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist 

No ID Information.


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