Individual
AMANDA KENNEDY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1 SUTPHIN DR, MARMET, WV 25315-1977
(304) 949-2000
Mailing address
7 OAKMONT DR, SAINT ALBANS, WV 25177-9746
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
LPA228
WV
Other
Enumeration date
12/31/2014
Last updated
12/31/2014
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