Individual
MR. DENISE KENNY KIERNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Contact information
Practice address
254 KENILWORTH RD, RIDGEWOOD, NJ 07450-5209
(516) 984-5362
Mailing address
254 KENILWORTH RD, RIDGEWOOD, NJ 07450-5209
(516) 984-5362
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00426400
NJ
Other
Enumeration date
05/10/2011
Last updated
05/10/2011
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