Individual
MRS. ANDREA LYNN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
120 SPRINGHALL DR, GOOSE CREEK, SC 29445-5335
(843) 216-0290
Mailing address
257 CAMERON ST, SUMMERVILLE, SC 29483-5362
(315) 480-0799
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3459
—
Other
Enumeration date
09/24/2012
Last updated
09/24/2012
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