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MATTHEW KENNEY OTR/L

>> Occupational Therapist >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1689005308

Individual Registrant:
 MATTHEW  KENNEY OTR/L
Gender: M
Sole Proprietor

Location and contact information for practice:
391 SQUAW HOLLOW RD  ASHFORD, CT 06278-1802 US
Tel: 860-729-7335  Fax: --

Contact information for business:
391 SQUAW HOLLOW RD  ASHFORD, CT 06278-1802 US
Tel: 860-729-7335  Fax: --

Registration Information:
NPI: 1689005308
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapist
CT002171

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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