Individual
DR. BONNIE LYNN KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L, PHD
Contact information
Practice address
822 ARROYO DR, SOUTH PASADENA, CA 91030-2302
(626) 799-2795
Mailing address
822 ARROYO DR, SOUTH PASADENA, CA 91030-2302
(626) 799-2795
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT 10863
CA
Other
Enumeration date
11/12/2009
Last updated
11/12/2009
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