Stephanie A Kenneally, MOT, OTR/L
Contractor in Freehold, New Jersey
1104101617- Practice location
- 40 Canterbury Dr, Freehold, NJ 07728-4421
- Phone
- 732-266-8814
- Fax
- —
- Last updated
- April 9, 2019
Stephanie A Kenneally is a Contractor based in Freehold, NJ. Stephanie A Kenneally practices in Freehold, NJ and has the professional credentials of MOT, OTR/L. The NPI Number for Stephanie A Kenneally is 1104101617 and holds a License No. 46TR0542000 (NJ). The current practice location address for Stephanie A Kenneally is 40 Canterbury Dr, Freehold, NJ 07728-4421 and can be reached out via phone at 732-266-8814.
Provider Profile Details
- NPI Number
- 1104101617
- Provider Name
- Stephanie A Kenneally
- Credential
- MOT, OTR/L
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 40 Canterbury Dr, Freehold, NJ 07728-4421
- Phone Number
- 732-266-8814
- Primary Taxonomy
- Contractor · 171W00000X
- Sole Proprietor
- Yes
- Other Names
- Stephanie A Blanar (Former Name)
- Provider Enumeration Date
- October 15, 2011
- Last Update Date
- April 9, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Canterbury Dr
Freehold, NJ 07728-4421 - City
- Freehold
- State
- New Jersey
- Zip
- 07728-4421
- Phone Number
- 732-266-8814
Provider Business Mailing Address Details
- Address
- 257B Matchaponix Ave
Monroe, NJ 08831-4034 - City
- Monroe
- State
- NJ
- Zip
- 08831-4034
- Phone Number
- 732-266-8814
License Information
- License Number
- 46TR0542000
- License State
- NJ
- Taxonomy
- Contractor · 171W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Stephanie A Kenneally, MOT, OTR/L?
The NPI number of Stephanie A Kenneally, MOT, OTR/L is 1104101617. It was assigned on October 15, 2011 and is currently active in the NPPES registry.
What is the specialty of Stephanie A Kenneally, MOT, OTR/L?
Stephanie A Kenneally, MOT, OTR/L is registered under the primary taxonomy Contractor (code 171W00000X), licensed in NJ under license number 46TR0542000.
Where does Stephanie A Kenneally, MOT, OTR/L practice?
The practice location is 40 Canterbury Dr, Freehold, NJ 07728-4421. The office can be reached at 732-266-8814 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104101617 directly on the NPPES registry website.