Individual
KAITLIN KENYON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1554 NORTHERN BLVD FL 3, MANHASSET, NY 11030-3054
(516) 719-3700
Mailing address
1983 MARCUS AVE STE 119, NEW HYDE PARK, NY 11042-1016
(516) 321-7526
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
025568
NY
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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