Individual provider · Type 1 NPI

Stephanie A. Kenneally, MOT, OTR/L

Contractor · Freehold, NJ

NPI number 1104101617 Active

Practice location

40 Canterbury Dr
Freehold, NJ 07728-4421

Mailing address

257B Matchaponix Ave
Monroe, NJ 08831-4034

Other practice locations

  • 38 Hillwood Rd, East Brunswick, NJ 08816-4622 · (732) 266-8814

Specialties and licenses

TaxonomyCodeLicense
Contractor Primary 171W00000X46TR0542000 (NJ)

Contractor: For the purposes of the Health Care Provider Taxonomy, a contractor is limited to individuals who do construction or mechanical work to modify a patient's environment to accommodate a health condition. Contractors perform projects including, but not limited to, building wheelchair ramps, widening doorways, modifying personal vehicles, and making other improvements for patient access and movement. This code has no re…

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About NPI 1104101617

Stephanie A. Kenneally, MOT, OTR/L's National Provider Identifier is 1104101617, issued on Oct 15, 2011. The primary taxonomy on file is Contractor (171W00000X), and the practice location is in Freehold, NJ. The record was last updated on Apr 9, 2019.