Provider Demographics
NPI:1366633950
Name:KENDALL, TERESA NAVALES (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:TERESA
Middle Name:NAVALES
Last Name:KENDALL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:TERESA
Other - Middle Name:NAVALES
Other - Last Name:SAYSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:1501 GREAT CASTLE PL
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:SC
Mailing Address - Zip Code:29414-5611
Mailing Address - Country:US
Mailing Address - Phone:843-573-9633
Mailing Address - Fax:
Practice Address - Street 1:2030 CHARLIE HALL BLVD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:SC
Practice Address - Zip Code:29414-5830
Practice Address - Country:US
Practice Address - Phone:843-266-1966
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-07
Last Update Date:2007-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC3301225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist