Provider Demographics
NPI:1982802229
Name:KENDALL, MARY ANNE (OTR/L)
Entity Type:Individual
Prefix:
First Name:MARY ANNE
Middle Name:
Last Name:KENDALL
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1135 N PATTERSON AVE
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-1113
Mailing Address - Country:US
Mailing Address - Phone:805-683-1995
Mailing Address - Fax:805-683-4793
Practice Address - Street 1:1135 N PATTERSON AVE
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-1113
Practice Address - Country:US
Practice Address - Phone:805-683-1995
Practice Address - Fax:805-683-4793
Is Sole Proprietor?:No
Enumeration Date:2007-07-09
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAOT6795225XN1300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XN1300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistNeurorehabilitation