Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
STEPHANIE A KENNEALLY, MOT, OTR/L
Active Sole ProprietorSTEPHANIE A KENNEALLY, MOT, OTR/L is a Contractor healthcare provider located in FREEHOLD, New Jersey. NPI 1104101617 is currently active in the NPPES registry. Verify at CMS.
Contractor · FREEHOLD, NJ
Registration Details
- NPI Number
- 1104101617
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Oct 15, 2011 (14.791050718243 yrs)
- Last Updated
- Apr 9, 2019
- License
-
46TR0542000 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
40 CANTERBURY DRFREEHOLD, NJ, 077284421Browse NJ providers · Browse ZIP 07728
- Phone
- 7322668814
- Primary Specialty
-
Contractor
171W00000X
Other Contractor Providers in FREEHOLD, NJ
| Name | Credential | NPI |
|---|---|---|
| MS. JOANN M KOSTYK | MT | 1134424658 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.