Individual
MS. JEAN MARIE KENNY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.T.R.
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
OT560
FL
225X00000X
Occupational Therapist
Primary
OT 560
FL
Other
Enumeration date
01/10/2007
Last updated
06/08/2012
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