FREDERICA KENNEDY

BRASELTON, GA
NPI1396958450
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: GA  OT006737)
Additional Taxonomies222Q00000X Developmental Therapist
225X00000X Occupational Therapist
(Licence: IL  056.006013)
Enumeration Date2007-05-07
Last Update Date2018-03-17
Business Address
FREDERICA KENNEDY OTR/L, OTD
2095 HIGHWAY 211 NW STE D
BRASELTON, GA 30517-3402
Phone number: 770-207-6390
Mailing Address
FREDERICA KENNEDY OTR/L, OTD
2791 SUMMIT VALLEY DRIVE
DACULA, GA 30019
Phone number: 708-612-2881