Individual
ALLISON ANNE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
705 S GRAND ST, NASHVILLE, IL 62263-1534
(618) 327-8236
Mailing address
5483 WHITE OAK DR, SMITHTON, IL 62285-3739
(618) 973-3636
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.012611
IL
Other
Enumeration date
03/01/2019
Last updated
03/01/2019
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