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Individual

MS. ANNE-MARIE FRASER KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTA

Contact information

Practice address
222 FM 1077, BANDERA, TX 78003-4765
(210) 663-2430
Mailing address
PO BOX 64027, PIPE CREEK, TX 78063-4027
(210) 663-2430

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
212317
TX

Other

Enumeration date
08/22/2018
Last updated
08/22/2018
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