Justine Kennan

NPI #1003155953 in Sandy Hook, Connecticut

Provider Information

NPI Number: 1003155953
Entity Type: Individual
Name: Justine Kennan
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Feb 12, 2013
Last Updated: Feb 12, 2013

Practice Location

Address: 139 TODDY HILL RD
City: Sandy Hook
State: Connecticut
ZIP Code: 06482-1362
Phone: (203) 364-3125

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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