KENDRA K JACK, OTR/L, Children BATAVIA, OH

Contact Information

KENDRA K JACK, OTR/L

2400 CLERMONT CENTER DR
BATAVIA, OH 45103-1990

Phone: 513-735-8300
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Children	283XC2000X

Indicates primary specialty

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NPI Profile & details for KENDRA K JACK · (Female)

NPI Number	`1447668009`
Status	Active
Credentials	OTR/L (Occupational Therapist, Registered, Licensed)
Entity	Individual
Enumeration date	07/28/2014
Last updated	08/19/2021 - About 5 years ago
Sole proprietor ¹	Yes
Identifiers	IL License # 056.009954
Hospital affiliation(s)	Not Available

¹ A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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KENDRA K JACK, OTR/L – NPI #1447668009Children

Contact Information

Specialty

Children

NPI Profile & details for KENDRA K JACK · (Female)

Reviews for KENDRA K JACK

KENDRA K JACK, OTR/L – NPI #1447668009
Children