# MRS. ANTOINETTE N KENNEDY

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1023369808
- **Gender:** F
- **Credential:** MS OTR/L

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225X00000X | Occupational Therapist | 2378 | MA | Yes |

## Other

- **Enumeration date:** 09/20/2012
- **Last updated:** 09/20/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1194703520 | — | MA |