Individual
MATTHEW KENNEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
391 SQUAW HOLLOW RD, ASHFORD, CT 06278-1802
(860) 729-7335
Mailing address
391 SQUAW HOLLOW RD, ASHFORD, CT 06278-1802
(860) 729-7335
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
002171
CT
Other
Enumeration date
12/05/2013
Last updated
12/05/2013
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