Individual
MADELINE CLAIRE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT/L
Contact information
Practice address
801 MEADOWOOD ST, GREENSBORO, NC 27409-2838
(336) 560-8989
Mailing address
113 BROOKS EDGE DR, WINSTON SALEM, NC 27107-1980
(336) 403-1537
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
12617
NC
Other
Enumeration date
10/17/2019
Last updated
08/01/2024
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