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Individual

ALEXA KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
30252 TOMAS STE 100, RANCHO SANTA MARGARITA, CA 92688-2181
(949) 459-1658
Mailing address
30252 TOMAS STE 100, RANCHO SANTA MARGARITA, CA 92688-2181

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
18398
CA

Other

Enumeration date
03/19/2018
Last updated
10/07/2020
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