KERRY HERNDON

FORT WAYNE, IN
NPI1609491414
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: IN  32003470A)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: FL  10695)
Enumeration Date2020-06-08
Last Update Date2020-06-08
Business Address
KERRY HERNDON
3715 UNION CHAPEL RD
FORT WAYNE, IN 46845-7400
Phone number: 260-483-5590
Mailing Address
KERRY HERNDON
7720 SCOTTWOOD CT
FORT WAYNE, IN 46804-4144
Phone number: