Individual
MRS. KATHRYN JEANNE CANNONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
400 ROUTE 70, LAKEWOOD, NJ 08701-5826
(609) 805-1686
Mailing address
102 ELLERY RD, VILLAS, NJ 08251-3313
(609) 805-1686
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
46TR00103800
NJ
Other
Enumeration date
04/25/2024
Last updated
04/25/2024
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