Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XH1200X | Occupational Therapist - Hand | 7186 | CA |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 7186 | CA |
NPI | 1851648489 |
---|---|
Provider Name | Mrs. Deborah Ellen Kenney |
First Address | Sunnyvale, CA 94087-5242 |
Second Address | Palo Alto, CA 94303-4760 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/08/2012 |
Last Update Date | 14/08/2012 |