Individual
SHAINA SUMMER KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
10144 FORD AVE, RICHMOND HILL, GA 31324-3936
(912) 727-2321
(912) 445-0599
Mailing address
267 CYRIL P BURKHALTER RD, GLENNVILLE, GA 30427-4248
(912) 237-3750
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT007211
GA
Other
Enumeration date
11/10/2018
Last updated
11/10/2018
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