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1144361346
KELLY MC KENNA
EAST SETAUKET, NY
NPI
1144361346
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: NY 010723-1)
Enumeration Date
2007-02-09
Last Update Date
2007-07-08
Business Address
Ms. KELLY MC KENNA MS OTRL
14 RESEARCH WAY
EAST SETAUKET, NY 11733-3453
Phone number: 631-331-6400
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Mailing Address
Ms. KELLY MC KENNA MS OTRL
33 MOSBY DR
LAKE GROVE, NY 11755-2316
Phone number: 631-588-3519
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