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Individual

JUDITH EILEEN KENNEDY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1120 DUNAWAY ST, MIAMISBURG, OH 45342-3839
(937) 866-9089
Mailing address
10051 YEARLING RUN S, DAYTON, OH 45458-5049
(937) 623-0806

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
05662
OH

Other

Enumeration date
12/03/2018
Last updated
12/03/2018
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