Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
FREDERICA KENNEDY, OTR/L, OTD
Active Sole ProprietorFREDERICA KENNEDY, OTR/L, OTD is a Pediatric Occupational Therapist healthcare provider located in BRASELTON, Georgia. NPI 1396958450 is currently active in the NPPES registry. Verify at CMS.
Pediatric Occupational Therapist · BRASELTON, GA
Registration Details
- NPI Number
- 1396958450
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 7, 2007 (19.299536090155 yrs)
- Last Updated
- Mar 17, 2018
- Licenses
-
056.006013 (IL)OT006737 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
2095 HIGHWAY 211 NW STE DBRASELTON, GA, 305173402Browse GA providers · Browse ZIP 30517
- Phone
- 7702076390
- Fax
- 6783744855
- Primary Specialty
-
Pediatric Occupational Therapist
225XP0200X
- Additional Specialty
- Occupational Therapist
- Additional Specialty
- Pediatric Occupational Therapist
Other Pediatric Occupational Therapist Providers in BRASELTON, GA
| Name | Credential | NPI |
|---|---|---|
| MELISSA NEWKAM CLARK | OTR/L | 1063799682 |
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.