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Individual

MS. JEAN MARIE KENNY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
2755 SE 5TH CT, POMPANO BEACH, FL 33062-6111
(954) 942-7110
Mailing address
2755 SE 5TH CT, POMPANO BEACH, FL 33062-6111
(954) 942-7110

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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