Individual
MISS JOYCE P KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
618 MAIN ST, GOODWILL INDUSTRIES OF NNE, LEWISTON, ME 04240
(207) 795-6110
(207) 795-6189
Mailing address
618 MAIN ST, GOODWILL INDUSTRIES OF NNE, LEWISTON, ME 04240
(207) 795-6110
(207) 795-6189
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
OT2613
ME
225XP0200X
Pediatric Occupational Therapist
OT2613
ME
Other
Enumeration date
02/29/2012
Last updated
04/14/2015
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