Individual
MICHELLE ANN KENNEDY
Active
Individual
MICHELLE ANN KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
MA
225X00000X
Occupational Therapist
030119
NY
225X00000X
Occupational Therapist
Primary
17805
NC
225X00000X
Occupational Therapist
26743
FL
225X00000X
Occupational Therapist
7677
SC
225X00000X
Occupational Therapist
OTL15638
MA
Other
Enumeration date
08/21/2020
Last updated
08/06/2026
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