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1952787624
STEPHANIE KENNEDY
RUSSELLVILLE, AR
NPI
1952787624
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2015-08-05
Last Update Date
2015-08-05
Business Address
STEPHANIE KENNEDY OT
1915 W MAIN ST
RUSSELLVILLE, AR 72801-2725
Phone number: 479-968-1198
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Mailing Address
STEPHANIE KENNEDY OT
500 E MAIN ST
RUSSELLVILLE, AR 72801
Phone number: 479-968-1198
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