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Individual

JUSTINE KENNAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
139 TODDY HILL RD, SANDY HOOK, CT 06482-1362
(203) 364-3125
Mailing address
139 TODDY HILL RD, SANDY HOOK, CT 06482-1362
(203) 364-3125

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
003751
CT

Other

Enumeration date
02/12/2013
Last updated
02/12/2013
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