Individual
JOANN COOK KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5229 RICHARDSON DR, FAIRFAX, VA 22032-3930
(703) 978-6532
Mailing address
5229 RICHARDSON DR, FAIRFAX, VA 22032-3930
(703) 978-6532
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
—
—
225XP0200X
Pediatric Occupational Therapist
0119000401
VA
Other
Enumeration date
02/22/2007
Last updated
01/17/2008
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