Individual
DR. GABRIELLE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
880 THIRD AVE, CHULA VISTA, CA 91911-1305
(619) 205-4585
Mailing address
3814 CHEROKEE AVE APT 8, SAN DIEGO, CA 92104-3154
(303) 521-4989
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25432
CA
Other
Enumeration date
12/18/2024
Last updated
12/18/2024
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