Individual
KELLY KENNARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1001 CENTER ST, LITTLE EGG HARBOR, NJ 08087
(609) 857-4141
Mailing address
155 MIZZEN AVE, MANAHAWKIN, NJ 08050-1920
(609) 891-9720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00442900
NJ
Other
Enumeration date
05/22/2013
Last updated
05/22/2013
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