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Individual

DEBORAH KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTRL

Contact information

Practice address
410 10TH AVE W, PALMETTO, FL 34221-5032
(941) 722-3582
(941) 739-8322
Mailing address
5711 29TH AVENUE DR E, BRADENTON, FL 34208-6556
(941) 722-3582
(941) 729-8322

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT966
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8121281 00
FL
05
880237800
FL
Enumeration date
01/29/2007
Last updated
01/19/2009
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