Individual
KENNIQUE DEWAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1200 N CENTRAL AVE, KISSIMMEE, FL 34741-4450
(689) 226-0069
Mailing address
232 BANBURY PL, KISSIMMEE, FL 34758-2716
(689) 226-0069
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
20213
FL
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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