Individual
STACY KENNAMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
157 BRAD ST, SCOTTSBORO, AL 35769-3419
(205) 382-0599
Mailing address
157 BRAD ST, SCOTTSBORO, AL 35769-3419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3128
AL
Other
Enumeration date
07/31/2019
Last updated
07/31/2019
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