Individual
MRS. ANTOINETTE N KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
40 UPLAND RD, WINTHROP, MA 02152-1528
(617) 539-0488
Mailing address
40 UPLAND RD, WINTHROP, MA 02152-1528
(617) 539-0488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2378
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1194703520
—
MA
Enumeration date
09/20/2012
Last updated
09/20/2012
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