# JOANN KENNEDY, OTR/L LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508042763
- **Authorized official:** MS. JOANN KENNEDY COOK KENNEDY OTR/L (DIRECTOR)
- **Authorized official phone:** (703) 978-6532

## Contact information

- **Practice address:** 5229 RICHARDSON DR, FAIRFAX, VA 22032-3930
- **Practice address phone:** (703) 978-6532
- **Mailing address:** PO BOX 10693, BURKE, VA 22009-0693
- **Mailing address phone:** (703) 978-6532

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | NULL | Yes |
| 225XN1300X | Neurorehabilitation Occupational Therapist | — | — | Yes |

## Other

- **Enumeration date:** 01/17/2008
- **Last updated:** 01/17/2008