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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JUSTIN LEIF KENNERLY, PT

Active Sole Proprietor

MR. JUSTIN LEIF KENNERLY, PT is a Pediatric Occupational Therapy healthcare provider located in LOS ANGELES, California. NPI 1699809848 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapy · LOS ANGELES, CA

Registration Details

NPI Number
1699809848
Provider Type
Individual
Gender
Male
NPI Issued
Mar 16, 2007 (19.446436062822 yrs)
Last Updated
Jul 8, 2007
License
25910 (CA)
Sole Proprietor
Yes

Practice Information

Address
4650 W SUNSET BLVD
LOS ANGELES, CA, 900276062
Browse CA providers · Browse ZIP 90027
Phone
3236692118
Fax
3236630093
Primary Specialty
Pediatric Occupational Therapy
2251P0200X

Other Pediatric Occupational Therapy Providers in LOS ANGELES, CA

Name Credential NPI
DR. KIMBERLEE MARVIL BICKERTON PT, DPT, PCS 1063576585
MRS. KERRI YUKIMI NARASAKI P.T. 1356476022
STEVEN SNITZER PT 1073649638
SANDRA WILLIAMS DENNIS P.T., MS 1467580878
MRS. ALISON NORTHRUP KAPETANOVIC MPT 1861529448
MISS AMBER THERESE FITCHEW MPT 1366570152
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.