Individual
KENNEDY DENISE YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
720 OLD CHEROKEE RD, LEXINGTON, SC 29072-9406
(803) 490-0960
Mailing address
124 SHORTCUT RD, PELION, SC 29123-9647
(803) 944-8331
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5335
SC
Other
Enumeration date
02/24/2025
Last updated
02/24/2025
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