Provider Demographics
NPI:1750371266
Name:MILBRAND, KENDRA L (PT)
Entity type:Individual
Prefix:
First Name:KENDRA
Middle Name:L
Last Name:MILBRAND
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:LOUISE
Other - Last Name:FORSYTHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:118 WASHINGTON STREET
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17104-1677
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3 WALNUT STREET
Practice Address - Street 2:SUITE 110
Practice Address - City:LEMOYNE
Practice Address - State:PA
Practice Address - Zip Code:17043-1168
Practice Address - Country:US
Practice Address - Phone:717-214-3688
Practice Address - Fax:717-214-3689
Is Sole Proprietor?:No
Enumeration Date:2005-10-26
Last Update Date:2009-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHPT-9090225100000X
PAPT017953225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist