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Individual

THERESA CATHERINE KENNELLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12100 W CENTER RD STE 518, OMAHA, NE 68144-3960
(402) 933-2882
Mailing address
12100 W CENTER RD STE 518, OMAHA, NE 68144-3960
(402) 933-2882

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2472
NE
247200000X
Other Technician

Other

Enumeration date
02/11/2015
Last updated
09/22/2020
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