Individual
KENNEDY BRESNAHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3509 INTERSTATE BLVD S STE B, FARGO, ND 58103-2200
(701) 364-9070
(701) 364-9071
Mailing address
3509 INTERSTATE BLVD S STE B, FARGO, ND 58103-2200
(701) 364-9070
(701) 364-9071
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1752
ND
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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