Individual
MRS. ALLISON VARGAS KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1157 FIRST COLONIAL RD STE 201, VIRGINIA BEACH, VA 23454-2432
(757) 481-0052
(757) 481-1099
Mailing address
1377 MOTOR PKWY STE 307, ISLANDIA, NY 11749-5258
(631) 580-5200
(631) 580-5222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119006447
VA
225X00000X
Occupational Therapist
OT 12943
FL
225XP0200X
Pediatric Occupational Therapist
OT 12943
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
892541100
—
FL
01
—
Z152T
BCBS
FL
Enumeration date
11/02/2007
Last updated
06/03/2019
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