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Individual
JENNIFER KENNEDY
Active
Individual
JENNIFER KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOTRL
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
0127841
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00274415
—
NY
Enumeration date
04/11/2007
Last updated
07/08/2007
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