Individual
KENNEDY KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
12311 PERRY HWY # A, WEXFORD, PA 15090-8344
(878) 332-4143
(878) 332-4347
Mailing address
109 SHAG BARK LN, VENETIA, PA 15367-1157
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC020031
PA
Other
Enumeration date
07/20/2024
Last updated
10/01/2024
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