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Individual

MR. KENNETH HWAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
2121 PINE ST, SAN FRANCISCO, CA 94115-2829
(415) 922-5085
Mailing address
1730 26TH AVE, SAN FRANCISCO, CA 94122-4316
(415) 759-9273

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
19230
CA

Other

Enumeration date
10/12/2018
Last updated
10/12/2018
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