Individual
KATELYN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
115 GATEWAY SHOPPING CTR, EDWARDSVILLE, PA 18704-4403
(570) 938-4634
(570) 763-4374
Mailing address
81 W VAUGHN ST, KINGSTON, PA 18704-3809
(570) 239-1465
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC011693
PA
Other
Enumeration date
08/26/2011
Last updated
03/22/2022
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