Alisa Lorene Kennan, MS, OTR/L

NPI #1699964841 in Lonoke, Arkansas

Provider Information

NPI Number: 1699964841
Entity Type: Individual
Name: Alisa Lorene Kennan, MS, OTR/L
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Specialist
Credential: MS, OTR/L
Enumeration Date: Oct 23, 2007
Last Updated: Apr 24, 2009

Practice Location

Address: 518 E FRONT ST
City: Lonoke
State: Arkansas
ZIP Code: 72086-3262
Phone: (501) 676-2786

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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