Individual
MISS JUDY FAYE KENNON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
409 GREENE ST, WEBSTER, TX 77598-6701
(281) 332-4738
Mailing address
17219 SATURN LN, HOUSTON, TX 77058-2293
(218) 508-2755
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
208216
TX
Other
Enumeration date
08/11/2018
Last updated
08/11/2018
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