Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 41 | CT |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 41 | CT |
N | 225XP0200X | Occupational Therapist - Pediatrics | 41 | CT |
NPI | 1528385192 |
---|---|
Provider Name | Patricia Kenning |
First Address | Cheshire, CT 06410-2549 |
Second Address | Cheshire, CT 06410-2549 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/04/2010 |
Last Update Date | 22/04/2010 |