Individual
MR. BRIAN E KAVENEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
201 STATE ST, ERIE, PA 16550-4955
(814) 877-6000
Mailing address
201 STATE ST, ERIE, PA 16550-0002
(814) 877-6000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
OC005131L
PA
225X00000X
Occupational Therapist
Primary
OT 004324
OH
Other
Enumeration date
04/08/2007
Last updated
03/24/2021
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