Individual
KATE LEE ANNE MCKENNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
400 N MAIN ST, BRISTOL, CT 06010-4923
(860) 584-3400
Mailing address
400 N MAIN ST, BRISTOL, CT 06010-4923
(860) 584-3400
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3085
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3085
—
CT
Enumeration date
12/13/2021
Last updated
12/13/2021
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