Individual
JENNIFER KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
462 MAIN ST, AGAWAM, MA 01001-1833
(413) 786-9704
Mailing address
462 MAIN ST, AGAWAM, MA 01001-1833
(413) 786-9704
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
11785
MA
Other
Enumeration date
10/27/2015
Last updated
07/01/2022
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