Individual
MS. BETSY JEAN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR, CLT
Contact information
Practice address
2722 LYMAN LN, FITCHBURG, WI 53711-5338
(608) 455-1644
Mailing address
2722 LYMAN LN, FITCHBURG, WI 53711-5338
(608) 455-1644
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3930-026
WI
Other
Enumeration date
03/14/2008
Last updated
01/18/2012
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