Individual
STEPHANIE KENNEDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1915 W MAIN ST, RUSSELLVILLE, AR 72801-2725
(479) 968-1198
(479) 967-1178
Mailing address
500 E MAIN ST, RUSSELLVILLE, AR 72801
(479) 968-1198
(479) 967-1178
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/05/2015
Last updated
08/05/2015
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