MRS. Jennifer Kinkade, OTRL

NPI #1174664171 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1174664171
Entity Type: Individual
Name: MRS. Jennifer Kinkade, OTRL
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTRL
Enumeration Date: Feb 11, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 603 NW STANFORD LN
City: Port Saint Lucie
State: Florida
ZIP Code: 34983-3406
Phone: (772) 336-9357

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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