Individual
MS. HEATHER SARAH KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4885 ROUTE 9, STAATSBURG, NY 12580-6028
(845) 889-9599
Mailing address
4885 ROUTE 9, P.O. BOX 367, STAATSBURG, NY 12580-6028
(845) 889-9599
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
008074
NY
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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