| NPI | 1710268891 |
|---|---|
| Former Name | JESSICA KENNEDY |
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 3906) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: ME TO2555) |
| Enumeration Date | 2011-09-02 |
| Last Update Date | 2024-12-27 |