Individual
JESSICA SUZANNE KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
689 W MAIN ST, FREEHOLD, NJ 07728-2511
(732) 431-5200
Mailing address
57 WALNUT ST, FARMINGDALE, NJ 07727-1211
(732) 546-5384
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
NJ
Other
Enumeration date
01/10/2023
Last updated
01/10/2023
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