Provider Demographics
NPI:1376837443
Name:KENDRICK, KATI BERLIN (MS ,OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:KATI
Middle Name:BERLIN
Last Name:KENDRICK
Suffix:
Gender:F
Credentials:MS ,OTR/L
Other - Prefix:MS
Other - First Name:KATI
Other - Middle Name:NICOLE
Other - Last Name:BERLIN
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MS ,OTR/L
Mailing Address - Street 1:10516 PARK RD
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28210-8405
Mailing Address - Country:US
Mailing Address - Phone:704-541-9080
Mailing Address - Fax:704-372-9653
Practice Address - Street 1:11940 CAROLINA PLACE PKWY
Practice Address - Street 2:
Practice Address - City:PINEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28134-7471
Practice Address - Country:US
Practice Address - Phone:704-541-9080
Practice Address - Fax:704-372-9653
Is Sole Proprietor?:No
Enumeration Date:2011-06-06
Last Update Date:2021-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7882225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist